INTERMITTENT BLADDER CATHETERIZATION AS THE “GOLD STANDARD” FOR THE TREATMENT OF NEUROGENIC BLADDER IN PERSONS WITH SPINAL CORD INJURY

Abstract

Introduction. Neurological disorders are often accompanied by urinary dysfunction. This problem can worsen the course of neurological diseases, lead to irreversible changes in the structure of the upper urinary tract, reduce the patient's quality of life and contribute to serious social problems. Purpose of the study. A study of literature data regarding the effectiveness and safety of intermittent bladder catheterization, as well as its impact on the quality of life of patients with spinal cord injury. Search strategy. To find reliable and relevant information, the main emphasis is on the Pubmed, Scopus, Cochrane Library and Google Scholar databases. The depth of the literature search is up to 10 years from 2013 to 2023, with the  exception of some sources that are fundamental and key on this topic. (1,2,6,7,27,51). Inclusion criteria: original articles, systematic reviews, meta-analyses in English and Russian. Exclusion criteria: Publications of low methodological quality, abstracts of reports, newspaper publications, unpublished observations and personal communications. For analysis, 61 literature sources were selected and critically assessed. Conclusion. Intermittent bladder catheterization continues to be an effective and safe treatment method that improves patients' quality of life, reduces the risk of complications and increases their self-esteem. It is necessary to continue research in this area in the future. in order to improve procedures, minimize potential risks and complications, and increase patient comfort during treatment. Achieving greater knowledge about the mechanisms of formation of the neurogenic bladder and the introduction of innovative treatment methods will determine the improvement of the quality of medical care for people with spinal cord injuries.