Treatment of underactive bladder with clean intermittent self-catheterization
10.3760/cma.j.issn.1000-6702.2018.z1.024
- VernacularTitle:清洁间歇自家导尿治疗膀胱无力症疗效的中期随访研究
- Author:
Xiaojun JIA
1
;
Chen LIANG
;
Kexin XU
;
Xiaobo HUANG
;
Xiaofeng WANG
Author Information
1. 100044,北京大学人民医院泌尿外科
- Keywords:
Underactive bladder;
Intermittent catheterization;
Complications;
Satisfaction;
Quality of life
- From:
Chinese Journal of Urology
2018;39(z1):66-69
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical outcome and the problems of patients who have performed the clean intermittent self-catheterization(CISC)through detailed telephone interviews and then develop corresponding measures to solve.Methods In this study,telephone interviews were carried out in 27 patients who were diagnosed as detrusor underactivity from January 2011 to September 2015,and received CISC as treatment.They were asked to finish the micturition diary and answer questions from 4 questionnaires of which the first one was IPSS and the other 3 parts were ICDQ,InCaSaQ,and SF-36. Results 27 patients completed the follow-up interview,and the median time of CISC is 1 8 months.The average frequency of voiding by catheterization was 3.7 times a day.After the intervention of CISC,the symptoms of voiding difficulty and chronic urinary retention in all the 27 patients were relieved.11.1% of the 27 patients experienced urinary tract infection.The average ICDQ score was 0.4 and 88.9% of them were satisfied with the current states and what they experienced after performing CISC.The average InCaSaQ score was 2.15.The average physical and mental score from SF-36 questionnaire was 76.9 and 79.2 respectively.Conclusions CISC is an easy-to-do operation that relieves retention effectively and protects upper urinary tract function.The incidence of complications is quite low and the influence on quality of life is moderate,making it easy to persist in the long term of bladder management.
