Neuro-Urology pp 337-363 | Cite as

Appliances, Catheterisation and Other Aids

  • Hanny Cobussen-BoekhorstEmail author
  • Shirley Budd


Management of conservative bladder dysfunction and urinary incontinence is usually the domain of nurses. For successful treatment and management, the knowledge and skill of appliances that are available and teaching patients and carers how to use the products are keys to success. In this chapter a latest comprehensive overview is given of absorbent products, intermittent catheterisation and dilatation, the male external catheter and indwelling catheterisation (urethral and suprapubic). Also included are catheter materials, types of catheters, Charrière or French gauge and catheter management is described. For each subject nursing interventions like patient assessment, education, explanation, training, documentation, solutions for challenges with appliances and follow-up care will be discussed. Photos and flowcharts are used to explain products, conservative management or trouble shooting. Scientific data such as the latest literature and evidence-based (nursing) guidelines have been used to justify objective description of the subject of this chapter.


Absorbent products Intermittent catheterisation Dilatation Male external catheter Indwelling catheterisation—urethral and suprapubic Catheter materials Types of catheters Catheter management Patient education Nursing interventions 


  1. 1.
    Bayliss V, Locke R, Elizabeth S. Continence care pathways. Chichester: Wiley Blackwell; 2009. ISBN: 978-0-470-06143-5.Google Scholar
  2. 2.
    Wound, Ostomy. Continence, Nurses, Society. Reversible causes of acute/transient urinary incontinence: clinical resource guide. Mt. Laurel. 2016.Google Scholar
  3. 3.
    Fader M, Cottenden AM, Getliffe K. Absorbent products for moderate-heavy urinary and/or faecal incontinence in women and men. 2008 Cochrane Library.
  4. 4.
    Beeckman D. Incontinence associated dermatitis: moving prevention forward. In: Proceedings of the Global IAD Expert Panel. 2015.Google Scholar
  5. 5.
    Fader M, Cottenden AM, Getliffe K. Absorbent products for light urinary incontinence in women. 2007 Cochrane Library.
  6. 6.
    Stohrer M, Blok B, Castro-Diaz D, Chartier-Kastler E, Del Popolo G, Kramer G, et al. EAU guidelines on neurogenic lower urinary tract dysfunction. Eur Urol. 2009;56(1):81–8.CrossRefPubMedGoogle Scholar
  7. 7.
    Castel-Lacanal E, Game X, De Boissezon X, Guillotreau J, Braley-Berthoumieux E, Terracol C, et al. Impact of intermittent catheterization on the quality of life of multiple sclerosis patients. World J Urol. 2013;31(6):1445–50.CrossRefPubMedGoogle Scholar
  8. 8.
    Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21(2):167–78.CrossRefPubMedGoogle Scholar
  9. 9.
    Vahr S, Cobussen-Boekhorst H, Eikenboom J, Geng V, Holroyd S, Lester M, Pearce I, Vandewinkel C. Evidence-based guidelines for best practice in urological health care. Catheterisation: urethral intermittent in adults. Dilatation, urethral intermittent in adults. Drukkerij Gelderland. 2013. ISBN: 978-90-79754-59-5.Google Scholar
  10. 10.
    Moore KN, Fader M, Getliffe K. Long-term bladder management by intermittent catheterisation in adults and children. Cochrane Database Syst Rev. 2007(4).
  11. 11.
    Woodward S, Rew M. Patients’ quality of life and clean intermittent self-catheterization. Br J Nurs. 2003;12(18):1066–74.CrossRefPubMedGoogle Scholar
  12. 12.
    Cravens DD, Zweig S. Urinary catheter management. Am Fam Physician. 2000;61(2):369–76.PubMedGoogle Scholar
  13. 13.
    Kessler TM, Ryu G, Burkhard FC. Clean intermittent self-catheterization: a burden for the patient? Neurourol Urodyn. 2009;28(1):18–21.CrossRefPubMedGoogle Scholar
  14. 14.
    Cobussen-Boekhorst H, Hermeling E, Heesakkers J, van Gaal B. Patients’ experience with intermittent catheterisation in everyday life. J Clin Nurs. 2016;25(9–10):1253–61.CrossRefPubMedGoogle Scholar
  15. 15.
    Logan K, Shaw C, Webber I, Samuel S, Broome L. Patients’ experiences of learning clean intermittent self-catheterization: a qualitative study. J Adv Nurs. 2008;62(1):32–40.CrossRefPubMedGoogle Scholar
  16. 16.
    Shaw C, Logan K, Webber I, Broome L, Samuel S. Effect of clean intermittent self-catheterization on quality of life: a qualitative study. J Adv Nurs. 2008;61(6):641–50.CrossRefPubMedGoogle Scholar
  17. 17.
    van Achterberg T, Holleman G, Cobussen-Boekhorst H, Arts R, Heesakkers J. Adherence to clean intermittent self-catheterization procedures: determinants explored. J Clin Nurs. 2008;17(3):394–402.PubMedGoogle Scholar
  18. 18.
    Cobussen-Boekhorst H, Beekman J, van Wijlick E, Schaafstra J, van Kuppevelt D, Heesakkers J. Which factors make clean intermittent (self) catheterisation successful? J Clin Nurs. 2016;25(9–10):1308–18.CrossRefPubMedGoogle Scholar
  19. 19.
    Bennett CJ, Diokno AC. Clean intermittent self-catheterization in the elderly. Urology. 1984;24(1):43–5.CrossRefPubMedGoogle Scholar
  20. 20.
    Pilloni S, Krhut J, Mair D, Madersbacher H, Kessler TM. Intermittent catheterisation in older people: a valuable alternative to an indwelling catheter? Age Ageing. 2005;34(1):57–60.CrossRefPubMedGoogle Scholar
  21. 21.
    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(6):766–72.CrossRefPubMedGoogle Scholar
  22. 22.
    Parsons BA, Narshi A, Drake MJ. Success rates for learning intermittent self-catheterisation according to age and gender. Int Urol Nephrol. 2012;44(4):1127–31.CrossRefPubMedGoogle Scholar
  23. 23.
    Geng V, Cobussen-Boekhorst H, Lurvink H, Pearce I, Vahr S. Evidence-based guidelines for best practice in urological health care. Male external catheters in adults—urinary catheter management. 2016. ISBN: 978-90-79754-87-8.Google Scholar
  24. 24.
    Geng V, Cobussen-Boekhorst H, Farrell J, Gea-Sanchez J, Pearce I, Schwennesen T, et al. Evidence-based guidelines for best practice in urological health care catheterisation indwelling catheters in adults urethral and suprapubic 2012. ISBN: 978-90-79754-50-2.Google Scholar
  25. 25.
    Pannek J, Gocking K, Bersch U. To clamp or not to clamp? Bladder management by suprapubic catheterization in patients with neurogenic bladder dysfunction. World J Urol. 2010;28(5):637–41.CrossRefPubMedGoogle Scholar
  26. 26.
    Bernard MS, Hunter KF, Moore KN. A review of strategies to decrease the duration of indwelling urethral catheters and potentially reduce the incidence of catheter-associated urinary tract infections. Urol Nurs. 2012;32(1):29–37.PubMedGoogle Scholar
  27. 27.
    Heesakkers J, Chapple C, Deridder D, Farag F, editors. Practical functional urology. Cham: Springer; 2016. ISBN: 978-3-319-25430-2.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of UrologyRadboudumcNijmegenThe Netherlands
  2. 2.Great Western Hospital Foundation TrustSwindonUK

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