Author(s): Turi MH, Hanif S, Fasih Q, Shaikh MA
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Abstract OBJECTIVE: To compare the complications especially infection in two groups; group-A: those performing clean intermittent self-catheterization (CISC) and group-B: patients with indwelling catheters. METHODS: Comparative study, conducted at Department of Urology, Jinnah Postgraduate Medical Centre, Karachi. A total of 80 patients with ages between 15 - 80 years were studied. There were 40 patients in each group comprising of 35 males and 5 females in group-A and 38 males and 2 females in group-B. Group-A patients were mainly those with neurogenic bladder (n = 25) and postoperative cases of stricture. While in indwelling group 35 patients had neurogenic bladder with the remaining (n = 5) having benign prostatic hypertrophy. Group-A performed CISC 1-4 times/24 hours depending on the primary disease while in group-B fortnightly catheter change was done under aseptic conditions. Symptomatic infections were taken into consideration in both the groups proven by urine C/S. RESULTS: Symptomatic infections as pyelonephritis, epididymorchitis and urosepsis occurred in both groups. In group-A 2 (5\%) patients developed pyelonephritis as compared to 10 (25\%) in group-B (P value 0.01). Epididymorchitis and urosepsis occurred in 1 (2.5\%) and 0 patients in group-A while 3 (7\%) and 2 (5\%) patients in group-B. Statistically significant infection (pyelonephritis) occurred in group-B. CONCLUSION: CISC is much safer practice with less complications and infection rate than indwelling catheters.
This article was published in J Pak Med Assoc
and referenced in International Journal of Physical Medicine & Rehabilitation