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Clean intermittent self-catheterization: a burden for the patient?
Thomas M Kessler1, Gloria Ryu, Fiona C Burkhard
1Department of Urology, University of Bern, Bern, Switzerland. tkessler@gmx.ch
Neurourology and Urodynamics
|August 30, 2008
Summary
Clean intermittent self-catheterization (CISC) is perceived as easy and painless by most patients with voiding dysfunction. This procedure significantly improves quality of life for over 60% of users.
Area of Science:
- Urology
- Patient-Reported Outcomes
Background:
- Voiding dysfunction impacts quality of life.
- Clean intermittent self-catheterization (CISC) is a common management strategy.
Purpose of the Study:
- To evaluate patient perceptions of CISC for managing voiding dysfunction.
- To assess the impact of CISC on daily activities and quality of life.
Main Methods:
- Questionnaire survey of 92 patients using CISC for voiding dysfunction.
- Analysis of patient-reported ease of use, pain, interference with daily activities, and quality of life.
Main Results:
- Over 80% found CISC easy and minimally interfering with daily life.
- Nearly 90% reported no or minimal pain during CISC.
- More than 60% experienced improved quality of life; severe pain predicted poor outcomes.
Conclusions:
- CISC is generally perceived as an easy, painless, and non-disruptive procedure by patients.
- The majority of patients report improved quality of life with CISC.
- CISC is a well-tolerated and recommendable treatment option from a patient perspective.
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