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Ileal conduit: This is an incontinent urinary diversion. The ureters are connected to a piece of the ileum, which opens onto the abdominal wall as a stoma. Urine drains continuously into an external collection bag. No catheterization is required.

Neobladder: A neobladder is an internal reservoir connected to the urethra. Ideally, the client voids by relaxing the pelvic floor and using the Valsalva maneuver (bearing down). While some neobladder patients may occasionally need to catheterize if they can't empty fully, it is not the standard primary method of emptying as it is for a Kock pouch.

Vesicostomy: This is a simple opening made directly from the bladder to the abdominal wall, common in pediatrics. It usually drains directly into a diaper or an appliance; while it can be catheterized, the Kock pouch is the definitive answer for a diversion requiring a formal CISC schedule.

Habit training: Attempt voiding at specific time periods. Habit training (or timed voiding) is typically used for clients with functional incontinence or those with cognitive impairments (like dementia). It relies on a schedule to keep the client dry but does not solve the physical emptying problem of a flaccid bladder.

Bladder training: Delay voiding according to a prescheduled timetable. Bladder training is the primary intervention for urge incontinence (overactive bladder). The goal is to “teach” the bladder to hold more urine for longer periods. In a flaccid bladder, the muscle is already too relaxed (underactive), so delaying voiding would only lead to dangerous over-distention.

Kegel exercises: Contract the pelvic muscles. Kegel exercises strengthen the pelvic floor to help with stress incontinence (leakage during coughing or sneezing). While healthy, they do not assist the detrusor muscle in a flaccid bladder to actually empty.

A sterile specimen is required for collection: A routine urinalysis does not require a sterile specimen. It is a clean procedure, not a surgical one. A sterile specimen is only required for a urine culture and sensitivity to identify specific bacteria.

The external meatus requires cleaning with antiseptic soap and water before voiding: While the area should be generally clean, the formal “antiseptic wipe” procedure is specifically for a clean-catch midstream specimen. For a routine urinalysis, the client can simply void into a clean container.

A clean-catch midstream specimen is necessary: While a clean-catch is the “gold standard” for avoiding contamination, it is not strictly necessary for a routine screening urinalysis. A simple “random” specimen is usually sufficient unless the provider specifically orders a clean-catch or a culture.