Impact of the route of clean intermittent catheterization on quality of life in children with lower urinary tract dysfunction

To compare the impact of the different routes for clean intermittent catheterization on the quality of life of children with lower urinary tract dysfunction.

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.

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).

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.

Neurourology and urodynamics. 2018 Aug 10 [Epub ahead of print]

Valeria P Alencar, Cristiano M Gomes, Eduardo P Miranda, Maria A Dos Santos Lelis, Patrícia Fera, Jose de Bessa, Miguel Srougi, Homero Bruschini

Division of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.