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 »  Home  »  General Info  »  SCI Manual  »  Urinary Tract Problems  »  Methods of Urinary Tract Management
Methods of Urinary Tract Management

The goals of a program of urinary tract management are:

  • Preservation of kidney function and health
  • Adequate emptying of the bladder
  • Prevention of complications listed above
  • Staying dry, also called "continence"
  • Managing the bladder in the simplest, safest possible way

     There are several methods of urinary tract management that address the loss of control over the storage and voiding functions of the bladder that occur in SCI. An individual program will be worked out for you by your doctor and nurse which will tell you what liquids and how much to drink, how often to catheterize, check the pH of your urine, have check-ups, etc.

The most common types of bladder management are:

  • Intermittent catheterization program (ICP)
  • Catheter free voiding program with external collection
  • Indwelling (urethral or suprapubic) catheter

Each of these methods is discussed in detail in the following sections.



» IRRIGATING THE CATHETER
Published 06/4/2006 | Methods of Urinary Tract Management | Rating:
      To find out if the catheter is draining well. Sometimes it is done to prevent urinary stones from forming, in which case solutions, such as acetic acid, Solution G, or Renacidin are used if prescribed
» CARING FOR DRAINAGE BAGS
Published 06/4/2006 | Methods of Urinary Tract Management | Unrated
  • CONNECTING A CATHETER TO A DRAINAGE BAG
  • POSITIONING A URINARY DRAINAGE BAG
  • EMPTYING DRAINAGE BAGS
  • CLEANING DRAINAGE BAGS
» INDWELLING CATHETER
Published 06/4/2006 | Methods of Urinary Tract Management | Rating:
    Any catheter which is inserted into the bladder and allowed to remain in the bladder is called an indwelling catheter. A common type of indwelling catheter is a Foley catheter. A Foley catheter has a balloon attachment at one end. After the Foley catheter is inserted, the balloon is filled with sterile water. The filled balloon prevents the catheter from leaving the bladder.
» CATHETER-FREE VOIDING WITH EXTERNAL COLLECTION
Published 06/4/2006 | Methods of Urinary Tract Management | Rating:
    Most people with a spinal cord injury don't have normal control of urination even when they empty their bladder well. Men usually wear an external condom collecting device, called an external catheter. As yet, there is no external device for women, so they usually wear waterproof panties with liners.
» INTERMITTENT CATHETERIZATION PROGRAM (ICP)
Published 06/4/2006 | Methods of Urinary Tract Management | Unrated

   If you do start urinating, intermittent catheterization is done to release the remaining urine from the bladder and measure the amount of urine left in the bladder after you urinated. Ideally, there should be no urine left in the bladder when the catheter is removed. However, most people have some residual urine. The amount of residual urine will be measured routinely until the amount is as low as possible. Your doctor will tell you what is safe. Residuals are checked periodically as long as you are in the hospital and also after you go home.

  At the start of rehabilitation, intermittent catheterization is routinely done on all patients every 4 to 6 hours. As you improve and your bladder empties better, intermittent catheterization for residual urine will change from every 4 to 6 hours, to every 8 to 12 hours. One of the goals of the intermittent catheterization program is to promote sterile urine, i.e. urine that has no evidence of bacterial growth. For this reason, a no-touch, sterile, or "clean" technique is used.