Clean intermittent self-catheterization: a 12-year followup.
We studied retrospectively 75 patients who performed clean intermittent self-catheterization for a mean of 7 years (maximum 12 years). Most of the patients had neuropathic bladder dysfunction and 92% were continent. Chronic or recurrent urinary tract infections were present in 42% of the patients. Although the upper urinary tract was well preserved in the majority of the patients regular screening for silent hydronephrosis and/or asymptomatic reflux proved to be necessary. Complications occurred in 15 patients, with a urethral pathological condition being the most frequent complication in our male patients during followup.
Wyndaele
J J
JJ
Department of Urology, State University of Ghent, Belgium.
Maes
D
D
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012648:Self Care / Q000009:adverse effects; D014525:Urethral Stricture / Q000453:epidemiology; D001743:Urinary Bladder; D001750:Urinary Bladder, Neurogenic / Q000150:complications / Q000628:therapy; D014546:Urinary Catheterization / Q000009:adverse effects; D014549:Urinary Incontinence / Q000453:epidemiology; D014552:Urinary Tract Infections / Q000453:epidemiology