K - BLADDER FUNCTION
Triggering and Valsalva or Crede´ manoeuvres should be strongly discouraged due to their threat to the upper urinary tract (i.e., kidney and ureter damage) in individuals with SCI. (Adapted from CUA 2019, p.162; Level B)
Selection of an assisted bladder drainage method (clean intermittent catheterization, urethral or suprapubic catheter) based on the individual’s motor functions, anatomic limitations, bladder characteristics, prior urological complications, and quality of life. Clean intermittent catheterization is the preferred method of bladder management after SCI, where possible. (Adapted from CUA 2019, p.166; Level B)