What is the role of a clean intermittent catheterization in the treatment of BPH

In individuals with BPH who fail to respond to medical therapy, who are not candidates for surgical therapy, and in whom bladder emptying is a problem, clean intermittent catheterization is an alternative to an indwelling foley catheter. If a patient has mobility of his hands and is motivated, he can be easily taught how to perform clean intermittent catheterization. With clean intermittent catheterization, one places a clean, not sterile catheter, into the urethra and passes the catheter into the bladder to drain urine from the bladder. This procedure is performed anywhere from 3 to 6 times per day, depending on how much urine is drained with each catheterization. The catheters are cleaned in between each catheterization and the same catheter may be used for up to a month before changing to a new catheter. If an individual is unable or unwilling to perform self-catheterization, a family member or care-giver can be taught how to perform clean intermittent catheterization.

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