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Thread: Recipes for avoiding UTI's

  1. #41
    Quote Originally Posted by SCI-Nurse
    Do you always Crede well before removing the catheter? This will help to get the last drops out, and is the only time we recommend using the Crede manuever anymore.

    (KLD)
    Dear nurse, why is Crede not recommended anymore?
    While I was in the Hospital (11 years ago), I was taught I should do this.

  2. #42
    We have known that this is a potentially dangerous practice for some time. Unless you have a sphincter that has no tone or one that you can voluntarily open, when performing the Crede maneuver you risk damaging the ureteroviscular valves that prevent reflux of urine from the bladder up to the kidneys, and the pressures exerted against a closed sphincter can easily cause reflux of potentially colonized urine along this route. For the same reasons, for those with bladder tone and spasm, "triggering" or "tapping" to stimulate bladder contraction and reflex voiding is no longer recommended.

    (KLD)

  3. #43
    Quote Originally Posted by SCI-Nurse
    We have known that this is a potentially dangerous practice for some time. Unless you have a sphincter that has no tone or one that you can voluntarily open, when performing the Crede maneuver you risk damaging the ureteroviscular valves that prevent reflux of urine from the bladder up to the kidneys, and the pressures exerted against a closed sphincter can easily cause reflux of potentially colonized urine along this route. For the same reasons, for those with bladder tone and spasm, "triggering" or "tapping" to stimulate bladder contraction and reflex voiding is no longer recommended.

    (KLD)
    Thank you, i'll keep it in mind.

  4. #44
    Is the Crede Maneuver = pushing with abdominal muscles to make myself pee? Like before SCI when we used to have contest to see who could pee the farthest? This question sounds silly but I am seriously asking. I read about Crede but it has never been explained to me. I am an L1 complete para almost 2 years post. I can make myself pee but can't stop myself from peeing. I wear a condom catheter and leg bag / bed bag. 24/7. Just wondering.
    L1 Complete - Injury 3/12/06 - Grateful to be alive!!!!

  5. #45
    Pushing with your abdominal muscles or diaphram (valsalva) is called straining. While it is different from the Crede maneuver (pushing with a hand or fist just above the pubic bone into the bladder) it is also now recommended to be avoided for those with neurogenic bladders. Long term use of external condom catheters and either reflex voiding or straining is also rarely recommended anymore.

    (KLD)

  6. #46
    Bumping this because I'm not sure how to hotlink.

  7. #47
    Junior Member
    Join Date
    Jun 2008
    Location
    Northern Nevada
    Posts
    13
    Quote Originally Posted by bob clark
    Hi Zero,

    I don't use any lube.... the H2O2 is enough so I'll beat ya to the draw. If I didn't need a doctor to write prescriptions (gabapentin) I'd never go to one. They're useless in my opinion. When your time is up, it's up.

    Bob.
    What is gabapentin for?

  8. #48
    Quote Originally Posted by NevadaAlf
    What is gabapentin for?
    It is generic neurotin for nerve pain.

  9. #49

    Please Continue To Add

    I beg the Care Cure Community to continue to add
    their individual success stories for avoiding UTI's.

    The mods will not sticky/bookmark this and there
    are just too many people in need.

    Please continue to bump this thread so that
    it will remain visible for those who continually seek counsel
    on this important topic.

    Thank you.

    Joe
    And the truth shall set you free.

  10. #50
    Senior Member Hunker's Avatar
    Join Date
    Mar 2004
    Location
    In a wheelchair
    Posts
    3,860
    Quote Originally Posted by NoDecafPlz
    I beg the Care Cure Community to continue to add
    their individual success stories for avoiding UTI's.

    The mods will not sticky/bookmark this and there
    are just too many people in need.

    Please continue to bump this thread so that
    it will remain visible for those who continually seek counsel
    on this important topic.

    Thank you.

    Joe
    I am bumping Joe.

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