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Related Experiment Videos

Clean intermittent self-catheterization: a 12-year followup.

J J Wyndaele1, D Maes

  • 1Department of Urology, State University of Ghent, Belgium.

The Journal of Urology
|May 1, 1990
PubMed
Summary

Clean intermittent self-catheterization (CISC) is effective for managing neuropathic bladder dysfunction, maintaining continence in most patients. Regular screening is vital to detect complications like urinary tract infections and upper urinary tract damage.

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Area of Science:

  • Urology
  • Nephrology
  • Neurology

Background:

  • Clean intermittent self-catheterization (CISC) is a cornerstone in managing neurogenic bladder dysfunction.
  • Long-term outcomes and complication profiles of CISC require ongoing investigation.
  • Understanding patient adherence and functional status is crucial for effective bladder management.

Purpose of the Study:

  • To evaluate the long-term efficacy and safety of clean intermittent self-catheterization in patients with neuropathic bladder.
  • To assess the incidence of urinary tract infections and upper urinary tract changes in patients undergoing long-term CISC.
  • To identify common complications associated with prolonged CISC use.

Main Methods:

  • Retrospective study of 75 patients with neuropathic bladder dysfunction.

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  • Patients performed clean intermittent self-catheterization for a mean duration of 7 years (range 1-12 years).
  • Data collection included continence rates, urinary tract infection (UTI) history, upper urinary tract status, and complications.
  • Main Results:

    • 92% of patients achieved and maintained continence using CISC.
    • 42% of patients experienced chronic or recurrent urinary tract infections.
    • The upper urinary tract was well preserved in most patients, but silent hydronephrosis and asymptomatic reflux were noted, necessitating regular screening.
    • Complications occurred in 15 patients, with urethral pathology being the most frequent in male patients.

    Conclusions:

    • Clean intermittent self-catheterization is a highly effective long-term management strategy for neuropathic bladder dysfunction, ensuring good continence.
    • Despite good upper tract preservation, vigilant monitoring for UTIs and silent renal damage is essential.
    • Urethral complications represent a significant concern in male patients undergoing long-term CISC.