Related Experiment Videos
Intermittent urethral self-catheterisation: long term results (bacteriological evolution, continence, acceptance,
Paraplegia
|May 1, 1991
Summary
Intermittent urethral self-catheterisation (IUSC) is a safe and effective method for managing neuropathic bladders, showing low complication rates and stable continence over time. Proper patient selection, motivation, and follow-up are key to successful long-term use.
Area of Science:
- Urology
- Nephrology
- Rehabilitation Medicine
Background:
- Neuropathic bladder dysfunction affects bladder control.
- Intermittent urethral self-catheterisation (IUSC) is a management option.
- Long-term outcomes of IUSC require further investigation.
Purpose of the Study:
- To analyze the long-term efficacy and safety of IUSC in patients with neuropathic bladders.
- To assess bacteriological changes, infection rates, and complications associated with IUSC.
- To evaluate continence and patient acceptance of IUSC over time.
Main Methods:
- Retrospective analysis of 520 patients using IUSC from 1976-1982.
- Follow-up assessments at discharge, 3, 6 months, and 5 years.
- Evaluation of bacteriology, urinary tract infections, catheterisation practices, complications, continence, and acceptance.
Main Results:
- Of 46 patients initially using IUSC, 22 continued long-term (average 6.6 years women, 4.6 years men).
- Low complication rate (4.3%) with no upper urinary tract deterioration observed.
- Continence and acceptance remained stable; problem germ infections reduced over time.
Conclusions:
- IUSC is a valuable tool for neuropathic bladder rehabilitation.
- Successful IUSC requires careful patient selection, motivation, and ongoing support.
- Long-term use demonstrates sustained efficacy and safety.