Korean J Urol.  1997 Jan;38(1):59-64.

Long-term Followup of Clean Intermittent Catheterization in Spinal Cord Injury Patients

• Lee SL
• Park WH
• Shim HB

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.

Keyword

Clean intermittent catheterization; Spinal cord injury

MeSH Terms

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