Die Bedeutung des Katheterismus in der Neurourologie

Abstract

Together with comprehension and therapy of neurogenic failure of the storage function of the urinary bladder, intermittent catheterization as a pressure-free voiding method without residual urine, represents a major principle of therapy in lower urinary tract dysfunction. Aseptic intermittent catheterization is recommended in Germany and Europe and seems to be acceptable even in long-term application with low complication rates. It is a precondition that patients are seen for clinical and urodynamic reevaluation at risk-adapted time intervals. The major focus is on early recognition and avoidance of threatening complications. The most important preventive measures are the motivation and compliance of the well-educated patient and the use of careful catheterization techniques with individually optimized catheters.Although aseptic intermittent catheterization has been used effectively for many years there is still a lack of randomized controlled studies for some important questions of details and an optimal catheter has still to be defined. Furthermore, valid conclusions based on well-conducted studies on the self-estimated quality of life of patients with intermittent catheterization, especially those with catheterization by attendant, are urgently needed. Intermittent catheterization is never a ready-made solution but always an individually tailored treatment for patients with lower urinary tract dysfunction.

Management and implementation of intermittent catheterization in neurogenic lower urinary tract dysfunction

“…With this consensus, the interdisciplinary, interprofessional working group 'Intermittent Catheterization' intends to contribute to the standardization of IC, eliminate uncertainties and provide assistance to specific end-users (professionals, people using IC and, where appropriate, their caregivers). IC never constitutes a 'one size fits all, ready-made' solution, rather it is a form of therapy for patients with neurogenic bladder dysfunction that is developed in response to individual needs (Böthig and Burgdörfer, 2012).…”