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Adherence with bladder irrigation following augmentation.

Matthieu Peycelon1, Konrad M Szymanski2, M Francesca Monn2

  • 1Department of Pediatric Urology of Riley Children Hospital, Indiana University, School of Medicine, 705 Riley Hospital Drive, Suite 4230, Indianapolis, IN, USA; Reference Center for Rare Diseases (CRMR), Malformations Rares des Voies Urinaires (MARVU), Université de Paris, Sorbonne Paris Cité. 48, Boulevard Sérurier, Paris, France.

Journal of Pediatric Urology
|December 5, 2019
PubMed
Summary
This summary is machine-generated.

Adherence to daily bladder irrigation (BA) in adults with spina bifida (SB) is poor, with no patients achieving strict adherence. Future strategies are needed to improve this critical self-care routine.

Keywords:
AdultReconstructive surgical proceduresSpinal dysraphismTherapeutic irrigationTreatment adherence and complianceUrology

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Area of Science:

  • Urology
  • Neurosurgery
  • Rehabilitation Medicine

Background:

  • Patients with bladder augmentation (BA) are typically advised to perform daily bladder irrigation.
  • However, data on patient adherence to this recommended regimen are limited.

Purpose of the Study:

  • To assess adherence to bladder irrigation protocols in adults with spina bifida (SB) and BA.
  • To identify potential risk factors associated with adherence to bladder irrigation.

Main Methods:

  • A cohort of adults with SB and BA was identified between 2017-2019.
  • Data on patient demographics, surgical history, and bladder management practices were collected via medical records and questionnaires.
  • Adherence was defined by frequency and volume of irrigation (strict, higher, and lower adherence).

Main Results:

  • Out of 87 participants, none reported strict adherence to bladder irrigation.
  • 71.3% of patients demonstrated 'higher adherence' (≥2 times/week with ≥60 mL), while 28.7% had 'lower adherence'.
  • Self-catheterization was associated with higher adherence compared to caregiver-performed catheterization (p=0.01).

Conclusions:

  • Adherence to bladder irrigation protocols in adults with SB and BA is suboptimal.
  • Factors like a history of bladder stones or the presence of a catheterizable channel did not significantly impact adherence.
  • Further research is necessary to develop effective methods for improving bladder irrigation adherence.