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 journalArticle

26 Citations (Scopus)

Abstract

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
Volume94
Issue number4
DOIs
StatePublished - Sep 2004

Fingerprint

Catheterization
Intermittent Urethral Catheterization
Neurogenic Urinary Bladder
Wheelchairs
Body Image
Spinal Cord Injuries
Urinary Bladder
Hand
Quality of Life
Surveys and Questionnaires
Cervical Cord

Keywords

  • Catheterization
  • Continent stoma
  • Tetraplegia

ASJC Scopus subject areas

  • Urology

Cite this

An assessment of the use of a continent catheterizable stoma in female tetraplegics. / Walsh, Kilian; Troxel, Scott A.; Stone, Anthony R.

In: BJU International, Vol. 94, No. 4, 09.2004, p. 595-597.

Research output: Contribution to journalArticle

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