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Impact of Introducing Intermittent Self-catheterisation to Individuals with an Injured Spinal Cord
Urethral Complications urological management with conservative (including ISC) and surgical
Urethral bleeding, urethral strictures and false passages have been techniques greatly improved quality of life.
68
described in almost all series, and the incidence seems to increase
with longer follow-up.
62–64
A lower incidence with the use of Conclusion
hydrophilic catheters has been suggested.
65
IC and ISC are good methods for bladder drainage in individuals with
SCI. The introduction of the technique has helped to dramatically
Other Complications change the short-term and long-term outcome. The results are good
The development of hydronephrosis can be silent and can occur even and the complications are acceptable, especially compared with the
very early after starting the treatment, and is due to the urodynamic alternatives. However, a safe urodynamic situation is mandatory, as is
situation or insufficient patient compliance. Loss of the catheter in the continuous good patient compliance. Teaching and educating play an
bladder and bladder calculi development on pubic hair introduced by important role. Moreover, lifelong follow-up remains necessary. ISC
the catheter can occur. can be considered as the method of choice for most individuals;
25
however, alternatives such as indwelling catheters, spontaneous
Quality of Life voiding and derivation may be possible or required in some. n
Studies suggest that patients using CIC because of neurogenic bladder
secondary to SCI generally exhibit a reduced quality of life in all health
Jean Jacques Wyndaele is a Professor and Chairman of
domains, as assessed by the Short Form-36 (SF-36).
66
Satisfaction with
the Department of Urology at the University of Antwerp
life was found to be significantly lower among individuals with impaired and Antwerp University Hospital. He is Chair of the Animal
bowel and bladder functioning who are dependent on others because
Research Laboratory in the Urological Department and
Vice Dean of the Faculty of Medicine at the University of
of limited hand function etc. compared with individuals who can
Antwerp. Professor Wyndaele is Editor in Chief of Spinal
perform bladder and bowel management by themselves. Dependent Cord and a member of several editorial boards. He is a
individuals reported greater self-reported handicap (Craig Handicap
Fellow of the International Spinal Cord Society (ISCS) and
the European Board of Urology, a faculty member of the
Assessment Reporting Technique [CHART]) in the areas of physical
European School of Urology and a member of many professional societies. He is the
independence, mobility and occupational functioning, but not in the author or co-author of 223 publications in peer-reviewed international and national
areas of social integration and economic self-sufficiency. Independent
journals and 26 book chapters.
individuals reported better overall physical health (SF-12).
67
Active
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EUROPEAN UROLOGICAL REVIEW
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