With clean intermittent catheterization, strict hygiene is the most crucial step. Always wash hands thoroughly with soap and water, and use a sterile or properly cleaned catheter every time. Ensuring he drinks adequate fluids helps flush out bacteria naturally. Some of his medications, like Pacitane (trihexyphenidyl), can influence bladder tone, so it's a good idea to review his complete regimen?including Syndopa and Pregaba NT?with his urologist and neurologist. They can guide you on preventive strategies, such as specific hygiene protocols or urinary antiseptics, to keep him comfortable and infection-free.

Your persistent electric shock-like sensations and numbness suggest that your diabetic neuropathy is not fully controlled with your current dose of Pregaba NT (pregabalin/nortriptyline). Your doctor may need to adjust the dosage of this medication or consider alternative nerve-pain therapies. It is also vital to ensure your blood sugar is tightly controlled using your current medications, Galvus (vildagliptin/metformin) and Glycomat GP (glimepiride/metformin), as stable blood sugar levels are crucial to prevent further nerve irritation. Please consult your doctor soon to safely evaluate and adjust your treatment plan.