Don’t use bladder training (repeated closure of the catheter) before urinary catheter removal. (AIURO – ANIMO)
The literature and the main guidelines describe this practice as unnecessary. It is based on a rational proved wrong by the physiology of urination as the Detrusor muscle of the bladder does not perform any kind of “gymnastics” when the catheter remains inserted, because urine emptying occurs through drainage and not by contraction of the same muscle.On the contrary, bladder exercises can be detrimental to the patient because if the catheter is closed several times during the day, especially in the absence of a closed circuit, this determines urinary stasis, which can increase the incidence of urinary infection.
Carolyn V. Gould, MD, MSCR; Craig A. Umscheid, MD, MSCE; Rajender K. Agarwal, MD, MPH; Gretchen Kuntz, MSW, MSLIS; David A. Pegues, MD and the Healthcare Infection Control Practices Advisory Committee (HICPAC) GUIDELINE FOR PREVENTION OF CATHETER-ASSOCIATED URINARY TRACT INFECTIONS 2009.
2. Centro studi EBN. Catetere vescicale e ginnastica vescicale: il crollo dei miti . Disponibile su: http://www.evidencebasednursing.it/revisioni/SI11cv1.pdf ultimo accesso 1.10.13.
Attention. Please note that these items are provided only for information and are not intended as a substitute for consultation with a clinician. Patients with any specific questions about the items on this list or their individual situation should consult their clinician.