Use and disuse of catheterizable channels as the primary method of emptying the neuropathic bladder: a single institutional cohort study

医学 队列 队列研究 外科 泌尿科 内科学
作者
Y. Griffin,Rosalia Misseri,Joshua D. Roth,Benjamin Whittam,Pankaj Dangle,Shelly King,Kirstan K. Meldrum,Martin Kaefer,Mark P. Cain,Richard C. Rink,Konrad M. Szymanski
出处
期刊:The Journal of Urology [Lippincott Williams & Wilkins]
标识
DOI:10.1097/ju.0000000000004313
摘要

No AccessJournal of UrologyPediatric Article4 Nov 2024Use and disuse of catheterizable channels as the primary method of emptying the neuropathic bladder: a single institutional cohort study Yifan Meng. Griffin, Rosalia Misseri, Joshua D. Roth, Benjamin M. Whittam, Pankaj Dangle, Shelly King, Kirstan K. Meldrum, Martin Kaefer, Mark P. Cain, Richard C. Rink, and Konrad M. Szymanski Yifan Meng. GriffinYifan Meng. Griffin Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN , Rosalia MisseriRosalia Misseri Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN , Joshua D. RothJoshua D. Roth Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN , Benjamin M. WhittamBenjamin M. Whittam Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN , Pankaj DanglePankaj Dangle Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN , Shelly KingShelly King Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN , Kirstan K. MeldrumKirstan K. Meldrum Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN , Martin KaeferMartin Kaefer Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN , Mark P. CainMark P. Cain Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN , Richard C. RinkRichard C. Rink Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN , and Konrad M. SzymanskiKonrad M. Szymanski Corresponding author: Konrad M. Szymanski, MD MPH Division of Pediatric Urology Riley Hospital for Children at IU Health 705 Riley Hospital Dr., Suite 4230 Indianapolis, IN 46202, USA Tel: (317) 944-7446 Fax: (317) 944-7481 Email: ([email protected]) View All Author Informationhttps://doi.org/10.1097/JU.0000000000004313AboutPDF Cite Export CitationSelect Citation formatNLMAMAIEEEACMAPAChicagoMLAHarvardTips on citation downloadDownload citationCopy citation ToolsAdd to favoritesTrack Citations ShareFacebookLinked InTwitterEmail Abstract Purpose: We aimed to assess long-term use of continent catheterizable urinary channels (CCCs) and explore potential risk factors for disuse. Materials and Methods: People undergoing appendicovesicostomy and Monti procedures at our institution were retrospectively reviewed (1991-2023). The main outcome was CCC disuse (not intermittently catheterizing channels as the primary method of bladder emptying). Cox regression was used. Results: 561 people (46% male, 57% shunted, 72% spina bifida) met inclusion criteria (244 appendicovesicostomy, 317 Monti; 69% right lower quadrant [RLQ]). Channels were created at a median age of 8 years (median follow up: 11 years, 78% self-catheterized). Overall, 76 people disused their channels. Most common reasons for disuse were non-mechanical (64%). After disuse, 46% underwent incontinent diversion. After correcting for differential follow-up, 89% of people still used their channels at 10 and 81% at 20 years, respectively. When analyzing all disused channels in patients reaching adulthood on multivariable analysis, channels catheterized by others had 3.78 times the risk for disuse compared to self-catheterized channels (p<0.001); RLQ channels were 1.06 times more likely to be disused than umbilical channels (p=0.02). For channels disused for non-mechanical reasons, catheterization by others, not attending transition clinic, and RLQ stoma were independently associated with disuse (p≤0.04). No variables were associated with disuse for mechanical reasons (p≥0.22). Conclusions: Most people with CCCs use them on long-term follow-up. 1% stopped using them annually. People who never self-catheterized, never attended transition clinic or had RLQ stomas were at higher risk of channel disuse, particularly due to non-mechanical reasons. © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.KeywordsUrinary bladder, neurogenic / surgeryUrinary catheterizationSurgical StomasRetrospective StudiesSelf-Management / methodsMetrics Author Information Yifan Meng. Griffin Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN More articles by this author Rosalia Misseri Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN More articles by this author Joshua D. Roth Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN More articles by this author Benjamin M. Whittam Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN More articles by this author Pankaj Dangle Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN More articles by this author Shelly King Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN More articles by this author Kirstan K. Meldrum Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN More articles by this author Martin Kaefer Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN More articles by this author Mark P. Cain Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN More articles by this author Richard C. Rink Division of Pediatric Urology, Riley Hospital for Children at IU Health, Indianapolis, IN More articles by this author Konrad M. Szymanski Corresponding author: Konrad M. Szymanski, MD MPH Division of Pediatric Urology Riley Hospital for Children at IU Health 705 Riley Hospital Dr., Suite 4230 Indianapolis, IN 46202, USA Tel: (317) 944-7446 Fax: (317) 944-7481 Email: ([email protected]) More articles by this author Expand All Advertisement PDF downloadLoading ...

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
爱学习的孩纸完成签到 ,获得积分10
刚刚
abala发布了新的文献求助10
刚刚
1秒前
bless完成签到,获得积分10
2秒前
彭于晏应助yyf采纳,获得10
2秒前
LiFeiYu完成签到,获得积分10
2秒前
3秒前
独特凡松发布了新的文献求助10
3秒前
搜集达人应助难过梦竹采纳,获得10
3秒前
Akim应助KYRIELIU采纳,获得10
4秒前
Owen应助任性若云采纳,获得10
4秒前
李大了发布了新的文献求助10
4秒前
ZDY完成签到,获得积分10
4秒前
4秒前
观妙散人发布了新的文献求助10
4秒前
赘婿应助高高紫烟采纳,获得10
5秒前
5秒前
隐形曼青应助林子青采纳,获得10
5秒前
深情安青应助冬去春来采纳,获得10
6秒前
6秒前
Erislastem发布了新的文献求助10
6秒前
彭于彦祖应助鱼咬羊采纳,获得30
6秒前
znn发布了新的文献求助10
7秒前
乐乐应助高工采纳,获得10
7秒前
7秒前
大聪明发布了新的文献求助10
7秒前
8秒前
李fr发布了新的文献求助10
9秒前
9秒前
Whisper完成签到 ,获得积分10
9秒前
小饼干完成签到,获得积分20
9秒前
小蘑菇应助Eric采纳,获得30
10秒前
10秒前
W_King完成签到,获得积分10
10秒前
11秒前
hhhh发布了新的文献求助10
11秒前
研友_VZG7GZ应助shain采纳,获得10
11秒前
12秒前
李大了完成签到,获得积分10
13秒前
13秒前
高分求助中
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
Effective Learning and Mental Wellbeing 300
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3974779
求助须知:如何正确求助?哪些是违规求助? 3519193
关于积分的说明 11197417
捐赠科研通 3255311
什么是DOI,文献DOI怎么找? 1797760
邀请新用户注册赠送积分活动 877150
科研通“疑难数据库(出版商)”最低求助积分说明 806187