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Intermittent catheterization: long-term follow-up

S K Yarnell, N S Checkles

    Archives of Physical Medicine and Rehabilitation
    |November 1, 1978
    PubMed
    Summary
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    Intermittent catheterization helps many spinal cord injury patients achieve bladder control. A retrospective study found most patients were discharged without catheters, with many remaining catheter-free long-term.

    Area of Science:

    • Urology
    • Neurosurgery
    • Rehabilitation Medicine

    Background:

    • Intermittent catheterization (IC) is a common bladder management technique for spinal cord injury (SCI) patients.
    • Its widespread use in the US began approximately 10 years ago, with initiation at Ohio State University Hospitals in 1972.

    Purpose of the Study:

    • To retrospectively evaluate the effectiveness of intermittent catheterization for bladder retraining in SCI patients.
    • To analyze long-term outcomes and identify factors influencing success or failure.

    Main Methods:

    • Retrospective review of 100 spinal cord injury patients who underwent intermittent catheterization.
    • Follow-up data collected over 3 to 4 years to assess catheter-free status.

    Main Results:

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    • 94% of patients were discharged catheter-free (off intermittent catheterization).
    • After 3-4 years, 63 patients remained catheter-free, while 15 were no longer catheter-free.
    • 16 patients were lost to follow-up during the study period.

    Conclusions:

    • Intermittent catheterization demonstrates significant success in achieving catheter-free status for SCI patients.
    • Further prospective studies are recommended to more effectively evaluate intermittent catheterization outcomes and complications.