RESUMEN
To determine the efficacy of bladder management with and without intermittent catheterization in spinal cord injury patients, an interventional study was carried out from June 1999 to June 2001 at Rehabilitation Medicine Departments of Combined Military Hospital and Military Hospital Rawalpindi [Armed Forces Institute of Rehabilitation Medicine]. Thirty adult patients of spinal cord injury of both sexes divided in two groups were included through a non-probable convenient sampling. In group "A", eighteen patients performed clean intermittent self catheterization for their bladder drainage, using Nelton's tube [12-14 F]. In group "B" twelve patients were managed with indwelling catheterization with Prosys ' silicon coated latex catheters following strict aseptic measures. Three complications namely, urinary tract infection, bacteriuria and bladder calculi were assessed. Mean patient age was 31.33 0.25]. Intermittent catheterization is a better option for the management of neurogenic bladder in spinal cord injured patients as compared to indwelling catheterization