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Clean intermittent self-catheterisation in 172 adults
R J Webb1, A L Lawson, D E Neal
1Department of Urology, Freeman Hospital, Newcastle upon Tyne.
British Journal of Urology
|January 1, 1990
Summary
Clean intermittent self-catheterisation (CISC) is a safe and effective technique for managing urinary issues. Most patients found CISC easy to learn, highly satisfactory, and reported significant improvements in continence and reduced healthcare visits.
Area of Science:
- Urology
- Nephrology
- Pelvic Health
Background:
- Urinary retention and incontinence significantly impact patient quality of life.
- Clean intermittent self-catheterisation (CISC) offers a potential solution for managing these conditions.
Purpose of the Study:
- To evaluate the efficacy, safety, and patient acceptance of CISC in a large adult cohort.
- To assess the long-term outcomes and resource utilization associated with CISC.
Main Methods:
- A prospective study involving 172 adult patients (68 male, 104 female) undergoing CISC.
- Data collected on technique mastery, adherence, continence, complications, infections, satisfaction, and healthcare utilization over 6981 patient-months.
Main Results:
- 145 patients remained on CISC, with 123 performing it every 3-4 hours.
- Significant improvements in continence were observed (101/107 previously incontinent patients improved).
- High patient satisfaction (156/163) and ease of use (140/163) were reported, with low infection rates (1 per 14 patient-months) and reduced GP visits.
Conclusions:
- CISC is an easily learned, safe, and acceptable technique for adults.
- It effectively improves continence and reduces healthcare burdens.
- The technique demonstrates a favorable risk-benefit profile for long-term urinary management.