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Official Journal of the , , , ,
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Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 2,063
Online ISSN 1973-9095
Suardi L., Cazzaniga M., Spinelli M., Tagliabue A. *
From the Division of Rehabilitative Medicine Valduce Hospital Villa Beretta, Costa Masnaga, Lecco
*Urology Division Section for Spinal Cord Injuries at Urologic risk Fornaroli Hospital, Magenta, Milan
Background. 1) To assess the use in clinical practice of time and volume dependent catheterisation and possible advantages compared with intermittent catheterisation in terms of: reduction in the number of catheterisations, reduction in episodes of bladder over-distension; 2) assess the accuracy of the instrument used to measure bladder volumes.
Methods. Twenty patients suffering from spinal cord injuries hospitalised at the Villa Beretta Rehabilita-tion Centre presenting a clinical and urodynamic diagnosis of neurogenic bladder being treated with intermittent catheterisation are considered in this study; the data resulting from the micturitional diary compiled within the context of clinical routine by the nursing staff were collected and analysed statistically. Each patient was adequately informed and monitored for a total period of 14 days; in the first 7 days, bladder drainage was carried out by means of intermittent catheterisation (IC), in the following period of 7 days by time-volume dependent catheterisation (TVDC).
Results. Using TVDC there is a significant reduction in the total number of catheterisations (p<0.001) with no significant variation in bladder over-distension episodes (p>0.05); the precision of the instrument used to measure bladder volumes varies with the range of measurements carried out. It is good (within 10% of bin centre value) in the 200-499 ml range, while it is much less precise outside this range.
Conclusions. In the everyday management of bladder drainage in patients with neurogenic bladder, TVDC can be advantageous in selected cases compared to IC because it leads to a reduction in the number of superfluous catheterisations. The use of a portable instrument presenting good precision for the measurement of bladder volumes is decisive for the application of TVDC.