Abstract
Clean intermittent catheterization (CIC) has become the gold standard for bladder management in a host of neurologic and non-neurologic disease states causing urinary retention. While CIC has been extensively studied, there has been limited research in applying CIC to the elderly population. In this review paper, we evaluate the lessons learned about the feasibility, complications, and obstacles to compliance associated with CIC and apply them to an elderly population. With the use of improved teaching methods, devices to assist with passing the catheter, and ongoing education and follow-up, we believe that CIC can be a viable option for bladder management in elderly patients with urinary retention.
Similar content being viewed by others
References
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
Lapides J, Diokno AC, Silber SJ, Lowe BS. Clean, intermittent self-catheterization in the treatment of urinary tract disease. J Urol. 1972;107:458–61.
Organization WH. World health report—health in the 21st century: a vision for all. Geneva: World Health Organization; 1998.
Griebling TL. The Beers criteria for potentially inappropriate medication use in older adults. AUA Annual Meeting. New Orleans, LA: State-of-the-Art Lecture; 2015.
Statistics FIFoA-R. Older Americans 2008: key indicators of well-being. Washington, DC: Federal Interagency Forum on Aging-Related Statistics; 2008. Mar.
Khan Z, Starer P, Yang WC, Bhola A. Analysis of voiding disorders in patients with cerebrovascular accidents. Urology. 1990;35(3):265–70.
Schaumburg HH, Berger AR, Thomas PK. Disorders of perepheral nerves. 2nd ed. Philadelphia: FA Davis; 1992.
Pilloni S, Krhut J, Mair D, Madersbacher H, Kessler TM. Intermittent catheterisation in older people: a valuable alternative to an indwelling catheter? Age and Ageing. 2005;34:57–60.
Carver MD. Adaptive equipment to assist with one-handed intermittent self-catheterization: a case study of a patient with multiple brain injuries. Am J Occ Ther. 2009;63:333–6.
Bernuz B, Guinet A, Rech C, Hugeron C, Even-Schneider A, et al. Self-catheterization acquisition after hand reanimation protocols in C5-C7 tetraplegic patients. Spinal Cord. 2011;49:313–7.
Amarenco G, Guinet A, Jousse M, Verollet D, Ismael SS. Pencil and paper test: a new tool to predict the ability of neurological patients to practice clean intermittent self-catheterization. J Urol. 2011;195:578–82.
Kessler T, Ryu G, Burkhard FC. Clean intermittent self-catheterization: a burden for the patient? Neurourology and Urodynamics. 2009;28:18–21.
Bennett CJ, Diokno AC. Clean intermittent self-catheterization in the elderly. J Urol. 1984;24:43–5.
Vahter L, Zopp I, Kreegipuu M, Kool P, Talvik T, et al. Clean intermittent self-catheterization in persons with multiple sclerosis: the influence of cognitive dysfunction. Multiple Sclerosis. 2009;15:379–84.
Robinson J. Intermittent self-catheterization appliances for disabled patients. Brit J Comm Nurs. 2006;11:520–3.
Robinson J. Intermittent self-catheterisation: teaching the skill to patients. Nursing Standard. 2007;21:48–56.
Prieto J, Murphy CL, Moore KN, Fader M. Intermittent catheterisation for long-term bladder management (review). The Cochrane Library 2014, Issue 9
Wyndaele JJ. Complications of intermittent catheterization: their prevention and treatment. Spinal Cord. 2002;40:536–41.
Wyndaele JJ, Brauner A, Geerlings SE, Bela K, Peter T, et al. Clean intermittent catheterization and urinary tract infection: review and guide for future research. Brit J Uro Int. 2012;110:910–7.
Seth JH, Haslam C, Panicker JN. Ensuring patient adherence to clean intermittent self-catheterization. Patient preference and Adherence. 2014;8:191–8. Excellent summary of patient factors to consider when initiating CIC.
Girotti ME, MacCornick S, Perisse H, Batezini NS, Almeida FG. Determining the variables associated to clean intermittent self-catheterization adherence rate: one-year follow-up study. Int Braz J Urol. 2011;37:766–72. Longitudinal assessment over the course of 12 months to identify factors that cause patients difficulty both in initiating CIC and continuing CIC after initial experience.
Wyndaele JJ. Self-intermittent catheterization in multiple sclerosis. Annals of Phys Rehab Med. 2014;57:315–20.
Perkash I, Giroux J. Clean intermittent catheterization in spinal cord injury patients: a follow up study. J Urol. 1993;149:1068–71.
Van Achterberg T, Holleman G, Cobussen-Bockhorst H, Arts R, Heesakkers J. Adherence to clean intermittent self-catheterization procedures: determinants explored. J Clin Nurs. 2008;17:394–402. Detailed collection of patient experiences/struggles with learning CIC and remaining compliant with CIC over time.
Oh SJ, Ku JH, Lim SH, Jeon HG, Son H. Effect of a ‘centralized intensive education system’ for clean intermittent self-catheterization in patients with voiding dysfunction who start catheterization for the first time. Int J Uro. 2006;13:905–9.
McConville A. Patients’ experiences of clean intermittent catheterisation. Nursing Times. 2002;98:55–7.
Chartier-Kastler E, Amarenco G, Lindbo L, Soljanik I, Andersen HL, et al. A prospective, randomized, crossover, multicenter study comparing quality of life using compact versus standard catheters for intermittent self-catheterization. J Urol. 2013;190:942–7.
Chiu CWY, Man DWK. The effect of training older adults with stroke to use home-based assistive devices. Occupational Therapy Journal of Research. 2004;24:113–20.
Compliance with Ethics Guidelines
Conflict of Interest
Dr. Bahnson declares that he has no conflict of interest. Dr. Mahdy: PI uphold postmarketing study, sponsored by Boston Scientific.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Author information
Authors and Affiliations
Corresponding author
Additional information
This article is part of the Topical Collection on Geriatric Bladder Dysfunction
Rights and permissions
About this article
Cite this article
Bahnson, E., Mahdy, A. Clean Intermittent Catheterization in the Elderly. Curr Bladder Dysfunct Rep 10, 376–380 (2015). https://doi.org/10.1007/s11884-015-0340-5
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11884-015-0340-5