A swing to intermittent clean self-catheterisation as a preferred mode of management of the neuropathic bladder for the dextrous spinal cord patient.

Since 1977, 301 patients with spinal cord pathology have been taught to self-catheterize. The majority (234) remain on the programme. The reasons for the 67 ceasing the procedure and the changing pattern of bladder management amongst Queensland's spinally injured community are discussed. The complications and advantages of the system are considered and a plea is put forward that intermittent clean self-catheterisation should be preferred as the preferred option to all spinally injured persons with good hand function.