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.
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.
Authors: Kyla Nichole Velaer; Blayne Welk; David Ginsberg; Jeremy Myers; Kazuko Shem; Christopher Elliott Journal: Top Spinal Cord Inj Rehabil Date: 2021-08-13
Authors: Ardavan Akhavan; Karin Baker; Glenn M Cannon; Benjamin Davies; John A Horton; Steven G Docimo Journal: J Spinal Cord Med Date: 2007 Impact factor: 1.985
Authors: David S Tulsky; Pamela A Kisala; Denise G Tate; Ann M Spungen; Steven C Kirshblum Journal: J Spinal Cord Med Date: 2015-05 Impact factor: 1.985