Abstract：
STUDY DESIGN:Prospective cross-sectional study. OBJECTIVES:To investigate residual urine volumes after intermittent catheterization (IC) in men with spinal cord injury (SCI) and the effect of residual urine on the rate of symptomatic urinary tract infections (UTIs). SETTING:Single SCI rehabilitation center in Switzerland. METHODS:Sixty men experienced in IC (≥ 6 months) emptied their bladder twice by IC. Immediately after catheterization, residual urine was determined by ultrasonography. Personal characteristics and bladder diary details (annual UTI rate, catheter type) were also collected. RESULTS:The median residual urine volume was 7.0 ml (lower quartile (LQ): 0.0, upper quartile (UQ): 20.3 ml). No residual urine was observed after 42% (n=50) of all catheterizations (n=120). Unsatisfactory residual volumes (that is, >50 ml) were observed after 9% (n=11) of all catheterizations. There was no significant (P=0.95) difference between the median residual urine volume of men with recurrent (>2 UTIs per year) UTIs (2.5 ml, LQ: 0.0, UQ: 29.3 ml) and the volume of those with sporadic (≤ 2 UTIs per year) UTIs (6.0 ml, LQ: 0.0, UQ: 20.0 ml). CONCLUSIONS:Bladder evacuation by IC is an efficient method, resulting in zero or small residual urine volumes. The small residual urine volumes generally observed after IC do not predispose for UTIs.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Krebs J,Bartel P,Pannek Jdoi
10.1038/sc.2013.81subject
Has Abstractpub_date
2013-10-01 00:00:00pages
776-9issue
10eissn
1362-4393issn
1476-5624pii
sc201381journal_volume
51pub_type
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