Clean intermittent catheterization in multiple sclerosis patients: An adherence and long-term follow-up study

[en] Introduction: Clean Intermittent Catheterization (CIC) is considered as a gold standard of treatment for bladder emptying disorders. A large amount of literature on CIC for patients suffering from neurological disorders is available, but there is a lack of research specifically concerning multiple sclerosis (MS) patients. Our primary outcome was to determine the characteristics of our population (sex, EDSS and age when CIC was introduced). Our secondary outcomes were to determine adherence of CIC. Method: As part of a multicenter, observational, retro-prospective study, data was collected from neuro-urologist consultation reports, and extracted from bladder diaries between 01/01/2000 and 31/03/24. MS patients, over 18 years, with the indication of CIC were included. Results: 195 patients (72.3% women) were included, with a mean age of 49 years old. The median of follow-up was 9 years. Median EDSS at the start of the study was 5.5. There was an adherence rate of 65.1%. Urinary leakage was present in 74.2% of patients prior to CIC and 31.6% following CIC. Conclusion: Catheterization is mainly offered to patients with an EDSS between 0 and 7. Rate of adhesion is encouraging, with most patients still continuing to use CIC by the end of follow-up. During the follow-up, we observed a reduced leakage rate but CIC alone can not explain this improvement. Following studies should include a list of constraints and reasons of halted CIC.

Disciplines :

Orthopedics, rehabilitation & sports medicine
Urology & nephrology

Author, co-author :

Maillard, Bérengère ; Université de Liège - ULiège > Département des Sciences de l'activité physique et de la réadaptation

CASSOL, Héléna ; Centre Hospitalier Universitaire de Liège - CHU > > Service de médecine de l'appareil locomoteur

Slomian, Justine ; Université de Liège - ULiège > Département des sciences de la santé publique

Bornheim, Stephen ; Université de Liège - ULiège > Evaluation-Revalidation (EVAREVA)

Kaux, Jean-François ; Université de Liège - ULiège > Département des Sciences de l'activité physique et de la réadaptation > Médecine physique, réadaptation et traumatologie du sport

Waltregny, David ; Université de Liège - ULiège > Département des sciences cliniques > Urologie

Keppenne, Véronique ; Université de Liège - ULiège > Département des sciences cliniques ; CHR of Huy, Urology, Huy, Belgium

Language :

English

Title :

Clean intermittent catheterization in multiple sclerosis patients: An adherence and long-term follow-up study

Publication date :

December 2024

Journal title :

The French Journal of Urology

ISSN :

2950-4201

eISSN :

2950-3930

Publisher :

Elsevier BV

Volume :

Issue :

Pages :

102738

Peer reviewed :

Peer Reviewed verified by ORBi

Additional URL :

https://api.elsevier.com/content/article/PII:S2950393024001955?httpAccept=text/xml

Available on ORBi :

since 21 September 2024

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