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25.1.18

Urinary Incontinence / Voiding Difficulties

Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 25, Palliative Care.

Clinical Description

  • see section under prostatic cancer and BPH, rectovaginal fistula
  • Common causes (see relevant chapter for details)

Non-pharmacological

  • Train and support family to optimise personal hygiene (regular bathing and change of clothing/bed linen). Convene catheter or insertion of in-dwelling catheter may assist with comfort and nursing of bed ridden patients

Complications and Referral Criteria

  • Refer for difficult catheterization, further investigations to ascertain the cause if necessary
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