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Up to date review reporting the technological details of devices used in the management of neurogenic bladder in post spinal cord injury patients

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Romanian Journal of Medical Practice | Vol. X, No. 2 (39), 2015
ISSN 1842-8258  |  e-ISSN 2069-6108
ISSN-L 1842-8258
DOI: 10.37897/RJMP

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Up to date review reporting the technological details of devices used in the management of neurogenic bladder in post spinal cord injury patients

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ABSTRACT

In the past years, a major cause of invalidity and death in post spinal cord injury (SCI) patients with neurogenic bladder (NB) was the renal failure. Since our ability to manage the dysfunction of NB has improved, the morbidity/mortality in these individuals significantly decreased.

The aims in NB management are to protect the upper and lower urinary tract and to improve the quality of life (QoL) of these individuals.

The insertion and removal of the catheter many times a day, to empty the bladder is called intermittent catheterization and it is considered the „gold standard“ in the NB management.

Nowadays, there are available many types of catheters, materials and techniques: non-coated catheters, gel-coated catheters, hydrophilic catheters, glycerine based catheters.

The choice of a catheter should be made on an individual analyse, according to gender, age, level of injury, functional status, urethral sensibility, or the circumstances the IC is needed (so, a patient may need a type of catheter at home and another one outside).

Keywords: spinal cord injury, neurogenic bladder, intermittent catheterization

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