What is an intervention for bladder complications in clients with neural tube defects?

Self-catheterization, also known as clean intermittent catheterization (CIC), is considered an effective intervention for bladder complications in clients with neural tube defects. Individuals with these conditions often experience issues such as neurogenic bladder, which can lead to complications like urinary retention or incontinence due to impaired nerve function.

CIC allows patients to empty their bladders at regulated intervals, reducing the risk of infection and retaining better bladder control. This practice helps manage urinary symptoms effectively by preventing over-distension of the bladder and promoting a regular voiding schedule. By using self-catheterization, clients can maintain a level of independence and improve their quality of life, addressing both medical concerns and personal autonomy.

In contrast, while medications for incontinence and pelvic exercise training can be useful in certain situations, they may not be as directly effective for the specific bladder management needs of individuals with neural tube defects. Fluid restriction is generally not advisable as it can create further complications, such as urinary retention or infections, by not allowing the bladder to function optimally. Therefore, self-catheterization is the most appropriate intervention in this context.