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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)1253-1261 https://doi.org/10.1111/jocn.13146

Datta SN, Chaliha C, Singh A Sacral neurostimulation for urinary retention: 10-year experience from one UK centre. BJU Int. 2008; 101:(2)192-6 https://doi.org/10.1111/j.1464-410X.2007.07282.x

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Kavia RB, Datta SN, Dasgupta R, Elneil S, Fowler CJ. Urinary retention in women: its causes and management. BJU Int. 2006; 97:(2)281-7 https://doi.org/10.1111/j.1464-410X.2006.06009.x

Malde S, Solomon E, Spilotros M Female bladder outlet obstruction: common symptoms masking an uncommon cause. Lower Urinary Tract Symptoms. 2019; 11:(1)72-77 https://doi.org/10.1111/luts.12196

Markiewicz A, Goldstine J, Nichols T. Emotional attributes, social connectivity and quality of life associated with intermittent catheterization. International Journal of Urological Nursing. 2020; 14:(1)27-35 https://doi.org/10.1111/ijun.12222

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Voiding dysfunction and the experience of intermittent self-catheterisation

10 December 2020
4 min read
Volume 29 · Issue 22

Intermittent self-catheterisation (ISC) isn't painful, right? It can be uncomfortable and often a nuisance if you have to do it, but it doesn't hurt.

In the literature, several quality-of-life studies highlight that the commencement of ISC impacts a patient's daily life in a positive way, when compared with the problems they may have experienced before ISC (Cobussen-Boekhorst et al, 2016). Markiewicz et al (2020) surveyed 393 patients, undertaking regular ISC and found depression, anxiety and feeling bad about oneself are not the lived experience of ISC patients. Furthermore, it was reported that preparation and anxiety pre-procedure were more difficult to manage than the execution of ISC itself (Cobussen-Boekhorst et al, 2016), clearly demonstrating the role of education and holistic support before initiating a regimen of ISC.

But what if patients don't find the procedure itself easy, or liberating? In fact, what if they find it a distressing experience? How do we coach these patients with sensitivity and diplomacy, while maintaining concordance with ISC as a daily regimen for the wellbeing of their urological condition, and their mental and physical health?

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