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THE INDWELLING URETHRAL CATHETER IN PATIENTS WITH ACUTE SPINAL CORD TRAUMA

A review of 77 patients admitted consecutively to the Spinal Injury Unit of Prince Henry Hospital is presented. All were managed by indwelling catheterization in the initial period. There was no evidence that the use of indwelling catheterization resulted in chronic infection of the upper renal tracts or in impairment of renal function. Patients who required permanent catheterization for their management also showed no evidence of deteriorating renal function as a result of chronic pyelonephritis. Bladder outlet resection proved to be a successful procedure in the achievement of a catheter‐free state in patients without spontaneous return of satisfactory bladder emptying. Irreversible urological complications were rare. Our results suggest that there appears to be no major advantage in the use of intermittent as compared with indwelling catheterization in the treatment of patients with acute spinal cord trauma.