Hesperian Health Guides
Methods for Automatic Bladder
HealthWiki > Disabled Village Children > Chapter 25: Urine and Bowel Management > Methods for Automatic Bladder
1. TRIGGERING: This method usually causes the bladder-emptying reflex to work when the person is ready to pee. It can be done using a urinal, toilet, potty or jar. This is the first method to try because nothing is put into the bladder. It is easy, so a child can do it alone. | |
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If possible, once a week after triggering use a catheter to see how much urine is left. If there is less than a cupful (150 cc.), continue the triggering program. If there is more than a cupful on several occasions, then the bladder is not emptying well enough. Try another method. |
2. PERIODIC USE OF A CATHETER: This method allows the bladder to be emptied completely before becoming too full. Sometimes it can be used to prepare the body for triggering. Put a clean or sterile standard catheter into the bladder every 4 to 6 hours to empty the urine. For instructions on how to put in a catheter, see the next page. |
CAUTION! If you drink more liquid than usual, put in the catheter more frequently to keep the bladder from stretching too much. |
Note: To reduce risk of urinary infections, regular frequent use of the catheter is more important than using a sterile catheter. It is a mistake to stop using the catheter only because you don’t have a chance to boil it (for example, when traveling, or at school). Just wash out the catheter with clean drinkable water after use, and keep it in a clean jar or towel. (Do not go too long without catheterizing, and do not stop catheterizing altogether. It is important for your bladder not to interrupt your program.)