Korean J Urol.  1995 Jun;36(6):645-650.

Long-term Followup of Clean Intermittent Catheterization in Patients with Neurogenic Bladder

• Seo WK
• Park CH
• Kim CI
• Kim KS

Abstract

From 1986 to 1993, we analyzed experiences in clean intermittent catheterization(CIC) of 62 patients with neurogenic bladder who were closely follow up for averaging 25months. Initial urodynamic study revealed hyperreflexic bladder in 21patients: 11 with detrusor sphincter dyssynergia. Areflexic bladder was found in 41patients: l5 with low compliance. Although positive urine culture were relatively frequent(61%), febrile urinary tract infections were rare(3%) and upper urinary tract function was stable. Other complications of CIC(29%) were burning sensation, resist on urethral catheter, epididymitis, scrotal abscess, bladder stone, etc. Although minor complications are not rare, we can conclude that preservation of renal function and improvement of urinary incontinence can achieved with intermittent catheterization and that patient must be well motivated and cooperative and be able to use their hands for continuation of CIC.

Keyword

Neurogenic Bladder; Clean intermittent catheterization

MeSH Terms

Abscess
Ataxia
Burns
Catheterization
Catheters
Compliance
Epididymitis
Follow-Up Studies*
Hand
Humans
Intermittent Urethral Catheterization*
Male
Sensation
Urinary Bladder
Urinary Bladder Calculi
Urinary Bladder, Neurogenic*
Urinary Catheters
Urinary Incontinence
Urinary Tract
Urinary Tract Infections
Urodynamics