R - SEXUAL HEALTH & RELATIONSHIPS
Performing bladder emptying prior to sexual activity is strongly recommended, and individuals with SCI should be encouraged to explore contingency plans if incontinence is to occur. (Adapted from CSCM 2010, p.315; Level B)
Discuss any bladder dysfunction with their partner, as optimization of bladder management will improve socialization and relationships. (Adapted from CSCM 2010, p.315; Level B)
Proper securing of catheters during sexual activity to maintain urethral integrity should be discussed. (Adapted from CSCM 2010, p.315; Level B)
Indwelling urinary catheters should be secured for sexual activity to limit friction in both men and women. We recommend that condoms are placed over the penile shaft and catheter in men. (Adapted from CSCM 2010, p.315; Level B)