Taking the pressure off: the role of intermittent self-catheterisation in urinary retention.

This article explores the importance of timely management of chronic urinary retention (CUR) in men, emphasising the role of intermittent self-catheterisation (ISC) as a first-line approach where appropriate, particularly in low-pressure retention, to prevent unnecessary reliance on indwelling catheters. It also highlights ISC as a key intervention once high-pressure retention has resolved, ensuring bladder health is maintained, complications are minimised and quality of life is improved. The authors also provide an overview of how CUR can significantly impact the physical, social and psychological aspects of a man's life and the vital role of nurses in the holistic management of the condition. A case study is provided to demonstrate the impact of delayed management of the patient. Strategies such as catheter valve use, patient education and multidisciplinary support are discussed to demonstrate how to optimise bladder health, enhance patient independence and preserve continence.