{"id":2831,"date":"2018-10-17T19:06:58","date_gmt":"2018-10-17T17:06:58","guid":{"rendered":"https:\/\/choosingwiselyitaly.org\/raccomandazione-prof\/dont-use-bladder-training-repeated-closure-of-the-catheter-before-urinary-catheter-removal-aiuro-animo\/"},"modified":"2019-10-02T11:24:58","modified_gmt":"2019-10-02T09:24:58","slug":"dont-use-bladder-training-repeated-closure-of-the-catheter-before-urinary-catheter-removal-aiuro-animo","status":"publish","type":"raccomandazione-prof","link":"https:\/\/choosingwiselyitaly.org\/en\/raccomandazione-prof\/dont-use-bladder-training-repeated-closure-of-the-catheter-before-urinary-catheter-removal-aiuro-animo\/","title":{"rendered":"Don\u2019t use bladder training (repeated closure of the catheter) before urinary catheter removal. (AIURO &#8211; ANIMO)"},"content":{"rendered":"<p>The literature and\u00a0the main guidelines\u00a0describe\u00a0this practice\u00a0as unnecessary.\u00a0It is based on\u00a0a rational\u00a0proved wrong\u00a0by the physiology\u00a0of urination\u00a0as\u00a0the\u00a0Detrusor muscle\u00a0of the bladder does not perform any\u00a0kind of\u00a0&#8220;gymnastics&#8221;\u00a0when the catheter\u00a0remains\u00a0inserted,\u00a0because urine\u00a0emptying\u00a0occurs through\u00a0drainage and\u00a0not by\u00a0contraction\u00a0of the same\u00a0muscle.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.<\/p>\n","protected":false},"featured_media":3446,"template":"","meta":{"_edit_lock":["1570008162:5"],"_edit_last":["5"],"_thumbnail_id":["3446"],"_wpml_word_count":["{\"total\":174,\"to_translate\":{\"it\":174}}"],"_yoast_wpseo_primary_eta":[""],"_yoast_wpseo_primary_disciplina":["105"],"_yoast_wpseo_primary_tipologia":[""],"wpcf-pacchetto":["FNOPI #1"],"wpcf-bibliografia":["Carolyn V. 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