Clean, Intermittent Self-Catheterization In The Treatment Of Urinary Tract Disease

Augmentation cystoplasty

“…Although the secretion of IgG A by the bowel segment may be bene®cial [64], large residual volumes, the presence of mucus and the need to use CISC are predisposing factors to clinically relevant UTIs. Infection whilst using CISC is harmless in the normal urinary AUGMENTATION CYSTOPLASTY 517 tract, except in the presence of high-grade re¯ux [22,96], and the same is probably true for bowel cystoplasty. Whilst bacteriuria is implicated in stone formation [103] and the development of malignancy [117] it is currently unclear whether its elimination is desirable or possible.…”

“…An improved understanding of the physiology and pathophysiology of the lower urinary tract, combined with the development of urodynamic evaluation, the introduction of CISC [22] and modern pharmacotherapy [23], have reduced both the use of urinary diversion and dependence upon permanent indwelling urinary catheters in the management of these patients. Patients with troublesome detrusor instability usually respond to treatment with antimuscarinic drugs or more simply with bladder`retraining' [24].…”

Botulinumtoxin in der Urologie

“…chronische -Epilepsie (Voss, 1998 (Baskin et al, 1990;Hilwa and Perlmutter, 1978;Lapides et al, 1972;Lindehall et al, 1991;Mulcahy et al, 1977). Diese Kombinationtherapie sollte vorzugshalber im Kleinkindesalter oder sogar bereits in der Neugeborenenphase initiiert werden (Dik et al, 2006;Edelstein et al, 1995;Wu et al, 1997), insbesondere bei "high-risk" Patienten mit nicht tolerablem Leakpoint Pressure -hier wird ein oberer Grenzwert von 40cmH 2 O allgemein akzeptiert (McGuire et al, 1996;McGuire et al, 1981;Tanaka et al, 1999;Wang et al, 1989).…”

Urethral cultures in patients with spinal cord injury

“…Intermittent catheterization (IC) technique has proved invaluable for neuropathic bladder management and gained acceptance as the preferred method since the early 1960s. 2 The risk of UTI is reduced by the absence of a chronic indwelling catheter and the periodic elimination of residual urine. Despite the advantages of IC, urinary colonization and infections continue to occur in many individuals.…”