title: Intermittent catheterization the right way! (Volume vs. time-directed).
abstract: Intermittent catheterization (ICP) is a well-proven effective means of urologic management for spinal cord diseased (SCD) persons who meet the following criteria: adequate low pressure bladder capacity (350-400 cc minimum), adequate hand function, unobstructed urethra and compliant, understanding, continent, cooperative patients. Time-directed (Q4 H-Q6 H), ICP-obtained volumes on twenty-one patients revealed a majority of early, unnecessary as well as some late over-distended bladder catheterizations. The PCI 5000 or "Bladder Manager", a miniaturized ultrasonic bladder volume measuring device developed by Diagnostic Ultrasound of Seattle, was evaluated. It allowed the patients to perform volume-directed ICP which results in less frequent catheterizations and prevents bladder overdistension.
authors.affiliation: Spinal Cord Injury Service, James A. Haley Veterans Hospital, Tampa, FL 33612, USA.
authors.forename: J E
authors.initials: JE
authors.lastname: Binard
authors.forename: L
authors.initials: L
authors.lastname: Persky
authors.forename: J L
authors.initials: JL
authors.lastname: Lockhart
authors.forename: B
authors.initials: B
authors.lastname: Kelley
mesh_terms: D004867:Equipment Design; D006801:Humans; D013119:Spinal Cord Injuries / Q000503:physiopathology / Q000534:rehabilitation*; D013997:Time Factors; D014159:Transducers; D014463:Ultrasonography / Q000295:instrumentation; D001743:Urinary Bladder / Q000503:physiopathology; D001750:Urinary Bladder, Neurogenic / Q000503:physiopathology / Q000534:rehabilitation*; D014546:Urinary Catheterization / Q000295:instrumentation*; D014563:Urodynamics / Q000502:physiology*; D014718:Vesico-Ureteral Reflux / Q000503:physiopathology / Q000534:rehabilitation