When should self-catheterization be taught to a patient undergoing an orthotopic neobladder?

Teaching self-catheterization before hospital discharge is critical for patients undergoing an orthotopic neobladder procedure. This timing allows healthcare providers to ensure that the patient has learned the necessary skills and can demonstrate proficiency while still receiving support and supervision from medical staff.

By the time of discharge, patients should be comfortable with the process, as it plays a significant role in maintaining their bladder function and reducing complications such as urinary retention and infections. Teaching self-catheterization before discharge allows healthcare providers to address any questions or concerns the patient may have and to reinforce the importance of the procedure in their ongoing care regimen.

Focusing on this timing also recognizes the importance of practical experience; patients benefit from performing the technique while still in a clinical environment. Instructors can provide immediate feedback and ensure that the patient's technique is correct, enhancing their confidence before they transition to independent living with the neobladder.

Preoperative teaching is beneficial for overall education and preparation, but it may not provide enough practice time to ensure competency in self-catheterization. Likewise, waiting until after discharge increases the risk of complications or poor compliance, as patients may face challenges without immediate access to healthcare guidance. Therefore, ensuring this skill is taught and practiced before the patient leaves the hospital