Numata Atsushi, Taniguchi Narumi, Kitahara Katsunori, Yamaguchi Satoshi, Kaneko Shigeo, Yachiku Sunao, Tamaki Gaku, Watabe Yoshihiko, Motoya Tadasu, Iuchi Hiromitsu
Department of Urology, Asahikawa Medical College.
Hinyokika Kiyo. 2003 Jan;49(1):33-7.
Clean intermittent catheterization is a well-known procedure of urinary drainage for patients who are unable to empty the bladder sufficiently. However, some patients with bladder dysfunction and nocturnal polyuria fail to obtain the benefits of intermittent catheterization and have annoying symptoms of nocturnal incontinence and low-compliance bladder, which threaten both their quality of life and renal function. We report the usefulness of nocturnal urethral indwelling catheterization using a specially designed catheter to treat patients (three women) with lower urinary tract dysfunction and nocturnal polyuria. Case 1: A 45-year-old woman with mental retardation suffered from difficulty of micturition and residual urine. A nocturnal urethral indwelling catheter freed her from difficulty with micturition and residual urine. Case 2: A 28-year-old woman with spina bifida and neuropathic bladder dysfunction suffered from urinary incontinence and recurrent pyelonephritis. The recurrent pyelonephritis was prevented and bladder compliance was improved with use of the nocturnal urethral indwelling catheter. Case 3: A 66-year-old woman with cervical myelopathy and multiple episodes of cerebral infarction suffered from nocturnal urinary incontinence. She underwent clean intermittent catheterization by her husband. Use of the nocturnal urethral indwelling catheter solved the problem of her nocturnal incontinence and relieved her husband of her nocturnal care. Nocturnal urethral indwelling catheterization is useful for treatment of nocturnal incontinence and recovery of bladder compliance in patients with lower urinary tract dysfunction and nocturnal polyuria.
清洁间歇性导尿是一种为膀胱无法充分排空的患者进行尿液引流的知名方法。然而，一些患有膀胱功能障碍和夜间多尿的患者未能从间歇性导尿中获益，并且出现令人烦恼的夜间尿失禁和膀胱顺应性降低的症状，这既威胁到他们的生活质量，也威胁到肾功能。我们报告了使用一种特殊设计的导管进行夜间尿道留置导尿对治疗患有下尿路功能障碍和夜间多尿的患者（三名女性）的有效性。病例1：一名45岁的智障女性排尿困难且有残余尿。夜间尿道留置导尿使她摆脱了排尿困难和残余尿的问题。病例2：一名28岁患有脊柱裂和神经源性膀胱功能障碍的女性患有尿失禁和复发性肾盂肾炎。使用夜间尿道留置导尿可预防复发性肾盂肾炎并改善膀胱顺应性。病例3：一名66岁患有颈椎病和多次脑梗死的女性患有夜间尿失禁。她由丈夫为其进行清洁间歇性导尿。使用夜间尿道留置导尿解决了她的夜间尿失禁问题，并使她的丈夫无需在夜间照顾她。夜间尿道留置导尿对于治疗下尿路功能障碍和夜间多尿患者的夜间尿失禁以及恢复膀胱顺应性是有用的。
