{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:25:18Z","timestamp":1787505918670,"version":"build-2736575974"},"reference-count":64,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Pract Neurol"],"accepted":{"date-parts":[[2021,6,9]]},"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:p>Patients with neurological disorders often have lower urinary tract dysfunction, manifesting as urinary retention or urinary incontinence, and so commonly use catheters. Neurologists should therefore be aware of the different types of catheters and appliances and their risks, benefits and complications. Clean intermittent self-catheterisation is preferable to an indwelling catheter; however, if this is not possible, then a suprapubic indwelling catheter is preferable to a urethral catheter for long-term management. We review the decision-making process when selecting catheters for neurological patients, the evidence base regarding the different options and how neurologists can recognise and address complications. We also discuss alternatives to catheterisation, such as non-invasive containment products and surgical treatments, and the indications for urological referral.<\/jats:p>","DOI":"10.1136\/practneurol-2020-002772","type":"journal-article","created":{"date-parts":[[2021,11,9]],"date-time":"2021-11-09T13:35:49Z","timestamp":1636464949000},"page":"504-514","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":12,"title":["Urinary catheter management: what neurologists need to know"],"prefix":"10.1136","volume":"21","author":[{"given":"Calum","family":"Clark","sequence":"first","affiliation":[{"name":"Department of Urology, Guy's and St Thomas' NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Collette","family":"Haslam","sequence":"additional","affiliation":[{"name":"Department of Uro-Neurology, The National Hospital for Neurology and Neurosurgery, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachin","family":"Malde","sequence":"additional","affiliation":[{"name":"Department of Urology, Guy's and St Thomas' NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5190-3259","authenticated-orcid":false,"given":"Jalesh N","family":"Panicker","sequence":"additional","affiliation":[{"name":"Department of Uro-Neurology, The National Hospital for Neurology and Neurosurgery, London, UK"},{"name":"Department of Brain Repair and Rehabilitation, UCL Queen Square Institute of Neurology, University College London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,11,9]]},"reference":[{"key":"2025102102100898000_21.6.504.1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(15)00070-8"},{"key":"2025102102100898000_21.6.504.2","doi-asserted-by":"crossref","first-page":"1152","DOI":"10.1002\/nau.23397","article-title":"An international continence Society (ICS) report on the terminology for adult neurogenic lower urinary tract dysfunction (ANLUTD)","volume":"37","author":"Gajewski","year":"2018","journal-title":"Neurourol Urodyn"},{"key":"2025102102100898000_21.6.504.3","doi-asserted-by":"crossref","first-page":"245","DOI":"10.4103\/0970-1591.65399","article-title":"Managing the urinary tract in spinal cord injury","volume":"26","author":"Harrison","year":"2010","journal-title":"Indian J Urol"},{"key":"2025102102100898000_21.6.504.4","unstructured":"Gravas SCJ , Gacci M , Members of the EAU Non-neurogenic male LUTS guidelines panel . 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