Pervaiz Hasan Khan Niazi, Nadeem Ahmad.
Role of intermittent catheterization in patients with spinal cord injury
Pak Armed Forces Med J Jun 2004;54(1):42-7.
Armed Forces Institute of Rehabilitation Medicine (AFIRM), Rawalpindi

To determine the efficacy of bladder management with and without intermittent catheterization in spinal cord injury patients, an interventional study was carried out from June 1999 to June 2001 at Rehabilitation Medicine Departments of Combined Military Hospital and Military Hospital Rawalpindi (Armed Forces Institute of Rehabilitation Medicine). Thirty adult patients of spinal cord injury of both sexes divided in two groups were included through a non-probable convenient sampling. In group "A", eighteen patients performed clean intermittent self catheterization for their bladder drainage, using Nelton`s tube (12-14 F). In group "B" twelve patients were managed with indwelling catheterization with Prosys ® silicon coated latex catheters following strict aseptic measures. Three complications namely, urinary tract infection, bacteriuria and bladder calculi were assessed. Mean patient age was 31.335.04 and 29.276.3 years in indwelling and intermittent groups respectively. Of the 42 complications noted in both groups 19 (45.23%) were in the intermittent group and 23 (54.76%) were in the indwelling group. Bacteriuria was significantly more in indwelling group(p<0.05). Urinary tract infection was also significantly more in indwelling group (p<0.02). The difference between the two groups was not statistically significant for bladder calculi (p>0.25). Intermittent catheterization is a better option for the management of neurogenic bladder in spinal cord injured patients as compared to indwelling catheterization.

Category: Neurosurgery
Keywords: Indwelling Catheterization. Spinal Cord Injury. Spinal Cord.

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USER COMMENTS

congratulations.Hard work but I am very pleased.There is no doubt that Intermittent catheterization far far bettet than indwelling catheterization.It reduces morbidity and indirectly mortality .
Posted by: Raza W A on Nov 2004

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