neurogenic bladder, self catherisation

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Regular Member

Date Joined Aug 2008
Total Posts : 271
   Posted 8/10/2008 1:04 AM (GMT -6)   
My Urologist is talking about the need to self catherise cos neurogenic bladder means bladder always retain 200ml.  I have never had kidney problems but this seems to be just a preventative measure as he also wants me to take high doses of ditropan/vesicare.   Anyone know about this.  Seems a bit like threading a needle with your eyes closed.  Can anyone tell me how its done??

Forum Moderator

Date Joined Mar 2003
Total Posts : 10404
   Posted 8/10/2008 8:05 AM (GMT -6)   

Popsie, I used to help children with spina bifida learn this technique. It's helpful to use a mirror when you're starting out. A magnifying makeup mirror with a stand usually works the best, although the magnification throws some people off and they choose to use the non-magnified reverse of the mirror. I'm sure your doc will send you to a nurse or therapist who will help you with the process.

The idea is not to let your bladder fill and back urine up into your kidneys, as the pressure this causes can damage the kidneys. Also, urine standing in the bladder for a long time predisposes you to chronic bladder infections which can also move into the kidneys.

Hopefully the meds will work and you won't need to catheterize. There is also an old technique called crede (cre-day) which involves external pressure on the bladder to help empty it more completely. You might ask your doctor about that. Good luck! 

Regular Member

Date Joined Apr 2007
Total Posts : 334
   Posted 8/10/2008 3:04 PM (GMT -6)   

Hi Popsie,


I just wanted pop in and welcome you to the board! Judilyn has given you some great advice. I am having problems getting links to work on this board, but if you google “self catheterization” there is a ton of information out there, including step by step instructions and diagrams, so this might help you feel a little more familiar with the process. It really does sound like you will get training as well.



Regular Member

Date Joined Aug 2008
Total Posts : 271
   Posted 8/10/2008 8:58 PM (GMT -6)   
Many thanks for info and suggestions.  I will try the site.  Have a good day.
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