Twenty-seven years of complication-free life with clean intermittent self-catheterization in a patient with spinal cord injury: A case report

Katsuhiro Mizuno, Tetsuya Tsuji, Akio Kimura, Meigen Liu, Yoshihisa Masakado, Naoichi Chino

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Mizuno K, Tsuji T, Kimura A, Liu M, Masakado Y, Chino N. Twenty-seven years of complication-free life with clean intermittent self-catheterization in a patient with spinal cord injury: a case report. Arch Phys Med Rehabil 2004;85:17057. Currently, clean intermittent self-catheterization (CISC) is the most prevalent method of bladder management in patients with spinal cord injury (SCI) at discharge from rehabilitation centers. However, half of the patients discontinue using CISC and change to other methods of bladder management several months postdischarge despite the fact that it the best way to prevent urinary tract complications. Few studies, however, report the long-term consequences of CISC. In this case, we present a woman in her early fifties who had sustained thoracic SCI and had continued using CISC for 27 years without developing any complications. The possible reasons for her success were absence of incontinence because of underactive and normal capacity bladder; normal upper-extremity functions and absence of marked spasticity of lower extremities that facilitated CISC technique; and absence of sociovocational problems, enabling her to keep proper intervals between catheterizations each day. This case indicates that CISC is useful for long-term bladder management in patients with SCI, even for 25 years or more. Long-term outcomes of CISC and factors leading to success need to be delineated in future studies with larger samples.

Original languageEnglish
Pages (from-to)1705-1707
Number of pages3
JournalArchives of Physical Medicine and Rehabilitation
Volume85
Issue number10
DOIs
Publication statusPublished - 2004 Oct

Fingerprint

Intermittent Urethral Catheterization
Spinal Cord Injuries
Urinary Bladder
Thoracic Injuries
Rehabilitation Centers
Urinary Tract
Upper Extremity
Catheterization
Lower Extremity

Keywords

  • Bladder, neurogenic
  • Case management
  • Case report
  • Rehabilitation
  • Treatment outcome
  • Urinary tract infections

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Twenty-seven years of complication-free life with clean intermittent self-catheterization in a patient with spinal cord injury : A case report. / Mizuno, Katsuhiro; Tsuji, Tetsuya; Kimura, Akio; Liu, Meigen; Masakado, Yoshihisa; Chino, Naoichi.

In: Archives of Physical Medicine and Rehabilitation, Vol. 85, No. 10, 10.2004, p. 1705-1707.

Research output: Contribution to journalArticle

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