An assessment of the use of a continent catheterizable stoma in female tetraplegics

Kilian Walsh, Scott A. Troxel, Anthony R Stone

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


OBJECTIVES: To evaluate the success of a continent catheterizable stoma in females with cervical spinal cord injury which resulted in neurogenic bladder dysfunction, the management of which may require clean intermittent catheterization despite altered hand function. PATIENTS AND METHODS: Six female tetraplegic patients with a lesion at C7 or above (age range 12-22 years) had a continent catheterizable abdominal stoma formed as part of their bladder management. As an objective measure of effectiveness, the time to complete catheterization was assessed before and after surgery. A quality-of-life survey at a mean (range) of 44 (6-90) months was also evaluated. RESULTS: All six patients can catheterize while in their wheelchair. The mean (range) time required for catheterization decreased from 27 (10-40) to 7.8 (1-15) min after surgery. All six reported a significant improvement in continence, body image, independence, convenience, time saving and satisfaction. CONCLUSION: Constructing a continent catheterizable stoma is a valuable option in selected tetraplegic patients.

Original languageEnglish (US)
Pages (from-to)595-597
Number of pages3
JournalBJU International
Issue number4
StatePublished - Sep 2004


  • Catheterization
  • Continent stoma
  • Tetraplegia

ASJC Scopus subject areas

  • Urology


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