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Management of the Neuropathic Bladder by Suprapubic Catheterisation
Author(s) -
BARNES D. G.,
SHAW P. J. R.,
TIMONEY A. G.,
TSOKOS N.
Publication year - 1993
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1993.tb00681.x
Subject(s) - medicine , catheter , anticholinergic , surgery , anesthesia
Summary— Forty out‐patients with neuropathic bladders managed by suprapubic catheterisation have been reviewed. Management included anticholinergic therapy and daily clamping of the catheter to maintain a compliant bladder of good capacity. Twenty‐three females and 17 males (mean age 45 years) were studied. Failed intermittent catheterisation and the replacement of long‐term urethral catheters were the main indications for suprapubic catheterisation. Catheter‐related problems were common, with only 5 patients reporting none. Acceptance by patients was high (84%). No evidence could be found of accelerated renal deterioration in patients followed up for more than 2 years. A policy for the management of suprapubic catheters is recommended.