Bladder Dysfunction

The bladder muscle, "detruser" and external sphincter are similarly affected. Early drainage occurs with indwelling ("foley") catheter.  When urine volumes are equal to or less than 400 cc per 4 hr., the patient is converted to an intermittent catheterization program (ICP).  Control fluid intake is closely monitored, especially at night (due to remobilization of fluid from the legs). Early catheter removal reduces the risk of infection (UTI) and allows for better fluid regulation and restriction if necessary. Early ICP reduces foley catheter related complications (erosion, stones, recurrent infections, colonization, resistant organisms).