Journal of Reconstructive Urology

.: ORIGINAL RESEARCH
Factors Affecting Compliance to Clean Intermittent Catheterization: Retrospective Analysis of 236 Patients
Temiz Aralıklı Kateterizasyona Uyumu Etkileyen Faktörler: 236 Hastanın Retrospektif Analizi
Ahmet HACIİSLAMOĞLUa, Osman ÖZDEMİRa
aDepartment of Urology, University of Health Sciences Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Türkiye
J Reconstr Urol. 2022;12(3):101-4
doi: 10.5336/urology.2022-91404
Article Language: EN
Full Text
ABSTRACT
 Objective: Neurogenic lower urinary tract dysfunction is a condition that occurs due to an underlying neurological problem and clean intermittent catheterization (CIC) is used in its treatment. In this study, we aimed to evaluate the compliance of patients with the use of CIC. Material and Methods: The data of 302 patients, who were treated with clean intermittent catheters (self-lubricant, disposable) by the same physician between 2016-2019 were retrospectively analyzed. The patients' age, gender, reasons for using CIC, and the presence of urinary incontinence when CIC was recommended were noted. Patients who discontinued CIC use were questioned when they quit and the reasons for quitting. Results: Of the 236 patients included in the study, 54.2% (n=128) were male and 45.8% (n=108) were female. Reasons for using CIC of the patients are multiple sclerosis in 39.8% (n=94), spinal cord lesion in 37.7% (n=89), cerebrovascular disease in 14.4% (n=34), and other reasons in 8.1% (n=19). It was observed that 67.8% of patients still use CIC, 26.7% stopped using CIC within the first year, and 5.5% after one year. The reasons for quitting were social reasons (13.2%), physician recommendation (38.1%), believing that it will not be beneficial (22.4%), and difficulty in using CIC (18.4%). Conclusion: Although CIC is the gold standard treatment in neurogenic lower urinary tract dysfunction, the most important factor in the success of treatment is patient compliance.

Keywords: Clean intermittan catheterization; bladder dysfunction; self catheterization
ÖZET
 Amaç: Nörojenik alt idrar yolları disfonksiyonu, idrar tutamamaya ya da yetersiz mesane boşalmasına neden olabilen, altta yatan nörolojik bir probleme bağlı olarak ortaya çıkan bir durumdur ve tedavisinde kendi kendine temiz aralıklı kateterizasyon (TAK) kullanılmaktadır. Bu çalışmada, hastaların TAK kullanımına uyumunu değerlendirmeyi amaçladık. Gereç ve Yöntemler: 2016-2019 arasında aynı doktor tarafından temiz aralıklı kateter (kendinden kayganlaştırıcılı, tek kullanımlık) tedavisi başlanan 302 hastanın verileri retrospektif olarak incelendi. Hastaların yaşı, cinsiyeti, TAK kullanma nedenleri ve TAK önerildiğinde idrar kaçırma varlığı not edildi. TAK kullanımını bırakan hastaların ne zaman bıraktıkları ve bırakma nedenleri sorgulandı. Bulgular: Çalışmaya dâhil edilen 236 hastanın %54,2'si (n=128) erkek, %45,8'i (n=108) kadındı. TAK kullanma nedenleri hastaların %39,8'inde (n=94) multipl skleroz, %37,7'sinde (n=89) omurilik lezyonu, %14,4'ünde (n=34) serebrovasküler hastalık ve %8,1'inde (n=19) diğer nedenlerdi. Hastaların %67,8'inin hâlâ TAK kullanmaya devam ettiği, %26,7'sinin ilk 1 yıl içinde, %5,5'inin ise 1 yıldan sonra TAK kullanımını bıraktığı gözlendi. Bırakma nedenleri sosyal nedenler (%13,2), doktor tavsiyesi (%38,1), fayda sağlamayacağını düşünme (%22,4) ve TAK kullanmada güçlük (%18,4) idi. Sonuç: Nörojenik alt üriner sistem disfonksiyonunda TAK altın standart tedavi olmasına rağmen tedavinin başarısındaki en önemli faktör hasta uyumudur.

Anahtar Kelimeler: Temiz aralıklı kateterizasyon; mesane disfonksiyonu; kendi kendine kateterizasyon
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