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

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.