Outcomes of Continent Catheterizable Channels Created in Adults

To describe the long-term outcomes of adults undergoing continent catheterizable channel (CCC) procedures for bladder dysfunction of various pathologies at our institution.

A retrospective chart review of all patients who underwent the CCC procedure at our institution from March 2013 to February 2024 was performed. Data on patient demographics, medical history, perioperative details, and postoperative complications was reported. The primary outcome was freedom from reoperation, classified based on the need for revision. Secondary outcomes were long-term catheterization of channel based on use of the channel at the longest-term follow-up (median follow-up of 61 months), and leakage from the channel.

Forty-four total patients were identified as having CCC creations at our institution. Median age was 47 (range 18-79) years. The primary indications for CCC creation were neurogenic bladder in 22/37 (59.5%) cases and refractory incontinence in 8/37 (21.6%) cases. Long-term complications of recurrent urinary tract infections were present in 6/37 (18.2) cases, and incontinence per urethra was present in 6/37 (18.2) cases. Notably, continued use of the CCC at the longest-term follow-up was 28/37 (75.7%) patients.

There is limited data regarding long-term outcomes in adult patients who underwent CCCs, as most data exists in pediatrics. This study is the largest adult-focused study to date describing long-term outcomes for adults undergoing these procedures. With future large-volume studies assessing both quality of life and procedure alternatives, we believe that preoperative counseling and procedure selection can lead to improved patient selection and overall satisfaction.