Long-term Followup of Clean Intermittent Catheterization in Spinal Cord Injury Patients.
- Author:
Sang Lin LEE
1
;
Won Hee PARK
;
Hong Bang SHIM
Author Information
1. Inha University College of Medicine, Sungnam, Korea Veterans Hospital Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Clean intermittent catheterization;
Spinal cord injury
- MeSH:
Bacteriuria;
Epididymitis;
Follow-Up Studies*;
Hand;
Humans;
Hydronephrosis;
Intermittent Urethral Catheterization*;
Male;
Motor Neurons;
Retrospective Studies;
Spinal Cord Injuries*;
Spinal Cord*;
Urinary Bladder Calculi;
Urinary Bladder, Neurogenic;
Vesico-Ureteral Reflux
- From:Korean Journal of Urology
1997;38(1):59-64
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Clean intermittent catheterization(CIC) is known as a safe, acceptable method in patient with neurogenic bladder due to spinal cord injury. We studied retrospectively the long term results of CIC in spinal cord injury patients. A total of 34 patients(12 upper. motor neuron lesion and 22 lower motor neuron lesion) was followed for 7 months to 82 months (average followup 31.5 months). Sixteen of 34 patient with high intravesical pressure improved after CIC. Two of 3 with abnormal BUN/Cr level, 13 of 14 with hydronephrosis, and all 12 with vesicoureteral reflux improved after CIC. But one patient with abnormal BUN/Cr was worsen. Before CIC period symptomatic bacteriuria developed in 29 patients, epididymitis in 8 patients and bladder stone in 3 patients. But after CIC, each of them was changed to 15, 1 and 1. In conclusion, We think that CIC is a good method for preservation of renal function and to decrease the urologic complications. But patients should be well motivated, cooperative and able to use their hands for continuous CIC.
