Journal
BJU INTERNATIONAL
Volume 94, Issue 4, Pages 595-597Publisher
BLACKWELL PUBLISHING LTD
DOI: 10.1111/j.1464-410X.2004.05007.x
Keywords
continent stoma; catheterization; tetraplegia
Categories
Ask authors/readers for more resources
OBJECTIVES To evaluate the success of a continent catheterizable stoma in females with cervical spinal cord injury which resulted in neurogenic bladder dysfunction, the management of which may require clean intermittent catheterization despite altered hand function. PATIENTS AND METHODS Six female tetraplegic patients with a lesion at C7 or above (age range 12-22 years) had a continent catheterizable abdominal stoma formed as part of their bladder management. As an objective measure of effectiveness, the time to complete catheterization was assessed before and after surgery. A quality-of-life survey at a mean (range) of 44 (6-90) months was also evaluated. RESULTS All six patients can catheterize while in their wheelchair. The mean (range) time required for catheterization decreased from 27 (10-40) to 7.8 (1-15) min after surgery. All six reported a significant improvement in continence, body image, independence, convenience, time saving and satisfaction. CONCLUSION Constructing a continent catheterizable stoma is a valuable option in selected tetraplegic patients.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available