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11–14 APRIL, 2018, HELSINKI, FINLAND
S5: NEUROPATHIC BLADDER
Moderators: Louiza Dale (UK), Babette Jatzkowski (Sweden)
ESPU-Nurses Meeting on Friday 13, April 2018, 09:50–10:45
09:50–10:00
S5-1 (LO)
EARLIER INTRODUCTION TO CIC PROVIDES BETTER
COMPLIANCE IN SPINA BIFIDA PATIENTS
Ezgi ALTUN TANIL
1
, Sibel TIRYAKI
2
, Ali AVANOGLU
1
and Ibrahim ULMAN
1
1) Ege University, Pediatric Surgery Division of Pediatric Urology, Izmir, TURKEY - 2) Ege University-Faculty
of Medicine, Department of Pediatric Surgery, Division of Pediatric Urology, Izmir, TURKEY
PURPOSE
Clean intermittent catheterization is an important tool in the management of children who cannot
empty their bladders. Our observation was that children and parents are more prone to adapting to
CIC in earlier ages. The aim of this study is to evaluate the compliance with CIC in terms of age CIC
was started in spina bifida patients.
MATERIAL AND METHODS
Spina bifida patients admitted to urodynamic laboratory between 2013 and 2017 were questioned
in terms of compliance with CIC. Gender, paraplegia, anatomic or mental disabilities, continence,
urinary infections, concomitant diseases, and person performing CIC were also recorded. The data
were reviewed retrospectively.
RESULTS
The study included 162 patients (77 boys, 85 girls) who were reevaluated in a median of 5 (1–24)
years. Mean age was 3.30 (±4,507) years when CIC was started. In total, 127 patients (78 %) were
compliant with CIC, 79 (49 %) were dry between intervals, and 105 (65 %) didn’t have urinary infec-
tions. Eighty-four (52 %) had paraplegia. While gender (p=0.251), paraplegia (p=0.418), anatomic
or mental disabilities (p=0.418), the person performing CIC (p=0.355) had no impact; the age of
starting CIC significantly effected compliance (p<0.001). The mean age at start of CIC was 2.49 for
the patients who were compliant and 6.26 for those who weren’t.
CONCLUSIONS
The delay in initiating CIC in spina bifida patients with neurogenic bladder does not only risk urinary
tract and retard continence, but it also decreases compliance with CIC. Our study shows better
adaptation when it is started in early ages.