Impact of the route of clean intermittent catheterization on quality of life in children with lower urinary tract dysfunction

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP ALENCAR, Valeria P. FMUSP-HC
GOMES, Cristiano M. FMUSP-HC
LELIS, Maria A. dos Santos
FERA, Patricia
BESSA JR., Jose de
dc.identifier.citation NEUROUROLOGY AND URODYNAMICS, v.37, n.8, p.2833-2840, 2018
dc.identifier.issn 0733-2467
dc.description.abstract AimsMethodsTo compare the impact of the different routes for clean intermittent catheterization on the quality of life of children with lower urinary tract dysfunction. In this cross-sectional study, all children and adolescents under treatment in our clinic from August 2011 to May 2012 who were on CIC for bladder dysfunction were included. To evaluate the technical difficulty and the discomfort associated with the procedure we used a standard visual analog scale. Quality of life was measured using the Pediatric Quality of Life Inventory Version 4.0. ResultsConclusionA total of 70 children including 38 (54.3%) boys and 32 (45.7%) girls with a mean age of 11.83.6 years (range 5 to 18 years) were evaluated. The mean daily number of catheterizations was 4.2 +/- 1.1. CIC was performed through the urethra in 51 (72.9%) subjects and a stoma in 19 (27.1%). A 45 (64.3%) were assisted by a caregiver to perform a catheterization. No differences in both difficulty and discomfort for performing CIC were observed between groups. Children who performed CIC through a stoma had a better quality of life scores for the physical (P=0.015) and social functioning domains (P=0.011). The quality of life of children and adolescents performing CIC appears to be affected by the route of catheterization, with a worse performance for those using urethral catheterization.
dc.language.iso eng
dc.publisher WILEY
dc.relation.ispartof Neurourology and Urodynamics
dc.rights restrictedAccess
dc.subject child; clean intermittent catheterization; quality of life; urinary bladder; urinary diversion; urinary incontinence
dc.subject.other generic core scales; neurogenic bladder; self-catheterization; adolescents; mitrofanoff; experience; diversion; version
dc.title Impact of the route of clean intermittent catheterization on quality of life in children with lower urinary tract dysfunction
dc.type article
dc.rights.holder Copyright WILEY LIM/55
dc.identifier.doi 10.1002/nau.23789
dc.identifier.pmid 30095196
dc.type.category original article
dc.type.version publishedVersion ALENCAR, Valeria P.:FM: GOMES, Cristiano M.:HC:IOT MIRANDA, Eduardo P.:FM: SROUGI, Miguel:FM:MCG BRUSCHINI, Homero:FM:MCG · LELIS, Maria A. dos Santos:Univ Sao Paulo, Div Urol, Sch Med, Sao Paulo, Brazil
· FERA, Patricia:Univ Sao Paulo, Div Urol, Sch Med, Sao Paulo, Brazil
· BESSA JR., Jose de:Univ Sao Paulo, Div Urol, Sch Med, Sao Paulo, Brazil WOS:000448184900066 2-s2.0-85052370370 HOBOKEN USA
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dc.description.index MEDLINE
dc.identifier.eissn 1520-6777
hcfmusp.citation.scopus 0
hcfmusp.citation.wos 0 Brasil

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