While preventing renal damage and symptomatic urinary tract infection are of paramount importance to persons with a spinal cord lesion (SCL), patient-reported outcomes (PROs) are receiving much more attention than ever before. We performed a cross-sectional internet survey of 282 adult members of SCL patient advocacy groups and investigated, for the first time, the impact of different types of urinary catheter, including a Japanese reusable silicone catheter and a reusable intermittent balloon catheter, on PROs of persons with SCL. Intermittent self-catheterization (ISC) did not surpass continuous indwelling catheterization in terms of a disease-specific urinary quality of life. Urinary incontinence, regular ISC, and performing ISC away from home confronted these individuals. Work productivity and regular activities correlated fairly well with the disease-specific urinary quality of life. Bowel management problems affected all PROs evaluated. The absence of differences in PROs among the types of catheter used for ISC implies that Japanese reusable catheters have the potential to benefit selected persons with SCL. Further research is warranted to develop measures for maximizing work productivity by overcoming urinary as well as bowel problems.
Scientific reports. 2024 Oct 17*** epublish ***
Noritoshi Sekido, Fujio Matsuyama, Tatsunori Murata, Ryosuke Takahashi, Mihoko Matsuoka, Atsushi Sengoku, Masashi Nomi, Takeya Kitta, Takahiko Mitsui
Department of Urology, Toho University Ohashi Medical Center, 2-22-36 Ohashi, Meguro-ku, Tokyo, 153-8515, Japan. ., CRECON Medical Assessment, Inc., Tokyo, Japan., Department of Urology, Spinal Injuries Center, Fukuoka, Japan., Department of Rehabilitation Medicine, Aijinkai Rehabilitation Hospital, Osaka, Japan., Department of Urology, Hyogo Prefectural Central Rehabilitation Hospital, Hyogo, Japan., Department of Renal and Urologic Surgery, Asahikawa Medical University, Hokkaido, Japan., Department of Urology, University of Yamanashi Graduate School of Medical Sciences, Yamanashi, Japan.