1995
DOI: 10.1097/00005392-199502000-00014
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Clean Intermittent Catheterization in Spinal Cord Injury Patients: Long-Term Followup of a Hydrophilic Low Friction Technique

Abstract: Clean intermittent self-catheterization is an established option in bladder management of spinal cord injury patients. Several early and a small number of long-term studies have reported good preventive or therapeutic effects on hydronephrosis, vesicourethral reflux, urinary tract infection and incontinence. Most reports describe the use of small catheters and liberal use of jelly but urethral complications, such as strictures and false passages, seem to increase with the length of followup. All 30 spinal cord… Show more

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Cited by 92 publications
(47 citation statements)
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“…10,11 Several studies show that repeat catheter introduction induces local traumatic reactions of the urethral wall, especially in male patients who have performed catheterization for more than 1 year. [12][13][14] A review of 21 patients who had been performing CIC for over 5 years showed a rate of urethral stricture of 19% and of epididymitis of 28.5%. 5 Although urinary tract infection was not included in our statistical analysis, it is well known that CIC involves a lower incidence of urinary tract infections than indwelling catheterization.…”
Section: Discussionmentioning
confidence: 99%
“…10,11 Several studies show that repeat catheter introduction induces local traumatic reactions of the urethral wall, especially in male patients who have performed catheterization for more than 1 year. [12][13][14] A review of 21 patients who had been performing CIC for over 5 years showed a rate of urethral stricture of 19% and of epididymitis of 28.5%. 5 Although urinary tract infection was not included in our statistical analysis, it is well known that CIC involves a lower incidence of urinary tract infections than indwelling catheterization.…”
Section: Discussionmentioning
confidence: 99%
“…Within the ®eld of neurology, detailed long-term follow-ups of the Lapides method have stated that urethral complications and chronic infections are dependent on the length of the regimen, 6 ± 9 while the hydrophilic CIC catheters could reduce these complications. 10,11 The time seems right for a comparative prospective clinical trial. 9 The hydrophilic catheter which has so far been tested (LoFric) seems to cause less short-term strains 12 and long-term trauma 10,11 and should logically reduce the risk of chronic prostatitis and epididymitis.…”
Section: Introductionmentioning
confidence: 99%
“…10,11 The time seems right for a comparative prospective clinical trial. 9 The hydrophilic catheter which has so far been tested (LoFric) seems to cause less short-term strains 12 and long-term trauma 10,11 and should logically reduce the risk of chronic prostatitis and epididymitis. 9,10 Positive results of self-catheterisaton have also been seen in stricture treatment following urethrotomy 13 including the low-friction variation.…”
Section: Introductionmentioning
confidence: 99%
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