Complications Associated With Clean Intermittent Catheterization in Children With Spina Bifida

Campbell, Jeffrey B.; Moore, Katherine; Voaklander, Donald C.; Mix, Lawrence W.

doi:10.1097/01.ju.0000125200.13430.8a

Cited by 44 publications

(20 citation statements)

References 16 publications

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“…Prostatitis, epididymo-orchitis and urethritis are less frequent complications; occasional urethral trauma has also been reported. 25,26 Concerns about urethral strictures and false passage have been raised but the incidence appears to be similar between those using IC and those who are not.…”

Section: Catheterizationmentioning

confidence: 83%

Neurological patients need evidence‐based urological care

Wyndaele

Bruschini

Madersbacher

et al. 2010

Neurourology and Urodynamics

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Section: Catheterizationmentioning

confidence: 83%

Neurological patients need evidence‐based urological care

Wyndaele

Bruschini

Madersbacher

et al. 2010

Neurourology and Urodynamics

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“…Campbell et al reported that 45 Canadian children learned to perform ISC at a mean age of 8 years (range 4.7-15.3 years) [22]. In this US cohort, the mean age to ISC was 9.45 years (SD = 2.97 years; range 2 to 17 years) and in those individuals with known intellectual disability, it was 12.2 years (SD = 2.96 years).…”

Section: Discussionmentioning

confidence: 95%

Urologic self-management through intermittent self-catheterization among individuals with spina bifida: A journey to self-efficacy and autonomy

Castillo

Ostermaier

Fremion

et al. 2017

PRM

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Abstract. PURPOSE:To describe the age of independence in intermittent self-catheterization (ISC) in a diverse patient population and identify factors associated with ISC in individuals with spina bifida. METHODS: Two hundred patients with myelomeningocele or lipomyelomeningocele, who were 3 years of age and utilized catheterization for bladder management were included. Data regarding diagnosis, functional level of lesion, race, ethnicity, presence of shunt, method of catheterization, self-management skills, fine motor skills, and cognitive abilities were collected. RESULTS: Fifty-five percent of individuals were able to perform ISC with a mean age of 9.45 years (SD = 2.97) and 22.7% used a surgically created channel. Higher level of lesion and female gender were associated with a lower rate of ISC. Intellectual disability was present in 15% of the individuals able to perform ISC and in 40% of those not able to perform ISC (p = 0.0005). Existent self-efficacy regarding activities of daily living (i.e. dressing, bathing, skin care) were associated with ISC (p < 0.0001). CONCLUSIONS: The average age of ISC emerged as a target for culturally-appropriate educational interventions to stimulate greater early independence. Future research on factors that may foster an 'independent spirit' early in childhood leading to self-management are warranted.

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“…Especially during the early rehabilitation phase, when patients are instructed on how to perform intermittent catheterization acute urethral false passages are possible. 2 Urethral strictures seem to be related to previous urethral lesions. Günther et al 1 demonstrated that a history of indwelling catheters or urethral lesions is correlated with a higher incidence of urethral strictures in men performing intermittent catheterization.…”

Section: Discussionmentioning

confidence: 99%

Perineal abscess formation as a complication of intermittent self-catheterization

2007

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Study design: Case report.Objectives: To present a rare but severe complication of intermittent catheterization. Setting: Paraplegic centre in Switzerland. Method and results: A 52-year-old man presenting with fever and septicaemia was diagnosed with a perineal abscess due to a bulbar urethral lesion caused by acute false passage during intermittent catheterization. Conclusion: Especially in patients with a history of urethral strictures performing intermittent catheterization, the possibility of perineal abscess formation should be taken into account when treating such a patient with fever of unknown origin.

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Complications Associated With Clean Intermittent Catheterization in Children With Spina Bifida

Abstract: The incidence of genitourinary complications associated with CIC in children with spina bifida is low. We identified 2 complications during a period of 570 patient-years for an incidence of 3.5 complications/1000 patient-years (95% confidence interval -1.3, 8.3) of observation.

Cited by 44 publications

References 16 publications

Neurological patients need evidence‐based urological care

Neurological patients need evidence‐based urological care

Urologic self-management through intermittent self-catheterization among individuals with spina bifida: A journey to self-efficacy and autonomy

Perineal abscess formation as a complication of intermittent self-catheterization

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