Impact of the route of clean intermittent catheterization on quality of life in children with lower urinary tract dysfunction. Issue 8 (10th August 2018)

• Record Type: Journal Article
• Authors: Alencar, Valeria P.; Gomes, Cristiano M.; Miranda, Eduardo P.; dos Santos Lelis, Maria A.; Fera, Patrícia; de Bessa, Jose; Srougi, Miguel; Bruschini, Homero
• Is Part Of: Neurourology and urodynamics. Volume 37:Issue 8(2018:Nov.)
• Page Start: 2833
• Page End: 2840
• Publication Date: 2018-08-10
• Subjects: child -- clean intermittent catheterization -- quality of life -- urinary bladder -- urinary diversion -- urinary incontinence; Urinary organs -- Periodicals; Urodynamics -- Periodicals; Urology -- Periodicals; 616.6
• DOI: 10.1002/nau.23789
• Languages: English
• ISSNs: 0733-2467

Abstract

Abstract : Aims: To compare the impact of the different routes for clean intermittent catheterization on the quality of life of children with lower urinary tract dysfunction. Methods: In this cross‐sectional study, all children and adolescents under treatment in our clinic from August 2011 to May 2012 who were on CIC for bladder dysfunction were included. To evaluate the technical difficulty and the discomfort associated with the procedure we used a standard visual analog scale. Quality of life was measured using the Pediatric Quality of Life Inventory Version 4.0. Results: A total of 70 children including 38 (54.3%) boys and 32 (45.7%) girls with a mean age of 11.8 ± 3.6 years (range 5 to 18 years) were evaluated. The mean daily number of catheterizations was 4.2 ± 1.1. CIC was performed through the urethra in 51 (72.9%) subjects and a stoma in 19 (27.1%). A 45 (64.3%) were assisted by a caregiver to perform a catheterization. No differences in both difficulty and discomfort for performing CIC were observed between groups. Children who performed CIC through a stoma had a better quality of life scores for the physical ( P = 0.015) and social functioning domains ( P = 0.011). Conclusion: The quality of life of children and adolescents performing CIC appears to be affected by the route of catheterization, with a worse performance for those using urethral catheterization.