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Decreasing frequency pattern in patients with clean intermittent catheterization for bladder voiding dysfunction.

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Clean intermittent catheterization (CIC) in a decreasing pattern effectively reduces catheterization frequency for bladder voiding dysfunction (BVD). Nearly half of patients achieved freedom from catheterization, with others significantly reducing usage and reporting good acceptance.

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Area of Science:

  • Urology
  • Nephrology

Background:

  • Bladder voiding dysfunction (BVD) affects numerous patients, necessitating effective management strategies.
  • Clean intermittent catheterization (CIC) is a common treatment, but its application in a decreasing pattern for varied etiologies requires evaluation.

Purpose of the Study:

  • To assess the efficacy and safety of CIC utilizing a decreasing frequency pattern in patients with BVD.
  • To determine the impact on post-void residual urine (PVR), complication rates, and patient adherence.

Main Methods:

  • A retrospective study analyzed 27 patients with BVD undergoing CIC.
  • Evaluated clinical presentation, PVR, urodynamic studies (UDS), and response to decreasing CIC frequency.
  • Primary endpoint: favorable response to decreasing CIC pattern; secondary endpoints: complications and patient perception.

Main Results:

  • Mean age was 54.33 years; mean follow-up was 23.5 months.
  • 40.7% of patients discontinued CIC after an average of 7.38 months.
  • Complications included mild cystitis (7 patients) and orchitis (2 patients); 79% reported no major difficulty learning CIC.

Conclusions:

  • CIC in a decreasing pattern is effective, allowing nearly half of BVD patients to cease catheterization.
  • The remaining patients significantly reduced catheterization frequency with minimal daily life interference.
  • This technique is well-accepted and learned by most patients with BVD, extending beyond neurogenic indications.