Credé's maneuver

Credé's maneuver is a medical technique used to assist in the emptying of the bladder. It involves the manual exertion of pressure on the lower abdomen to facilitate urination. This method is named after Carl Credé, a German gynecologist who introduced the technique in the 19th century primarily to prevent neonatal conjunctivitis, but it has since been adapted for use in patients with difficulty in bladder emptying due to various reasons.

Indications

Credé's maneuver is indicated in patients who suffer from conditions that impair the natural process of urination. These conditions include, but are not limited to, neurogenic bladder resulting from spinal cord injuries, multiple sclerosis, and other neurological disorders that affect bladder control. It is also used in the postoperative care of certain surgeries where urination might be temporarily difficult.

Technique

The technique involves the caregiver or patient placing their hand just above the pubic bone and applying gentle, steady pressure downwards towards the bladder. This action should mimic the natural process of urination, encouraging the bladder to empty fully. It is important that this maneuver is performed with care to avoid causing discomfort or injury to the patient.

Considerations

Before performing Credé's maneuver, it is essential to ensure that there is indeed urine in the bladder to be expelled. Overuse or incorrect application of the technique can lead to complications such as bladder or urethral injury. Therefore, it is typically recommended only when absolutely necessary and under the guidance of a healthcare professional.

Complications

While Credé's maneuver can be beneficial, it is not without risks. Potential complications include the development of urinary tract infections (UTIs) due to incomplete emptying of the bladder, damage to the bladder or urethra, and increased risk of bladder stones. Regular monitoring and medical supervision are advised for patients who require frequent use of this technique.

Conclusion

Credé's maneuver remains a valuable technique for assisting individuals with difficulty in bladder emptying. However, its application must be carefully considered and monitored to prevent complications. Advances in medical science may provide alternative methods for managing bladder emptying issues, but Credé's maneuver continues to be a useful tool in specific circumstances.