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Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie · 2019

[Urethral pain during clean intermittent self catheterization: Retrospective analysis of 77 patients].

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Turmel N, Hentzen C, Miget G, Chesnel C, Charlanes A, Le Breton F, Tan E, Amarenco G

Аннотация

OBJECTIVE: Clean self-intermittent catheterization (CIC) is the gold standard of the therapeutic approach of chronic urinary retention. Usually, CIC are safe, effective but in some cases catheterization can determine urethral pain during catheter insertion or withdrawal leading to poor adherence and compliance. To determine prevalence of pain during CIC and verify its impact on adherence to treatment.

METHOD: Retrospective study with evaluation of pain during CIC one month following CIC teaching session by means specific and validated questionnaires: ICDQ (Intermittent Catheterization Difficulties Questionnaire), InCasaq (Intermittent Catheterization Satisfaction Questionnaire), I-CAS (Intermittent Catheterization Adherence Scale).

RESULTS: Seventy-seven patients were recruited and 28 (36%) described pain during CIC. There is a strong relationship between pain and poor adherence (P<0.01). Female patients had a higher risk of urethral pain during CIC and in contrary BMI>25kg/m2 seems to be a protective factor of pain.

CONCLUSION: In this series, urethral pain was associated with low compliance and adherence to CIC.

LEVEL OF EVIDENCE: 4.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты