Quality of life after suprapubic catheter placement in patients with neurogenic bladder conditions

Rebecca S. Lavelle, Burhan Coskun, Chasta D. Bacsu, Louise A. Gliga, Alana L. Christie, Gary E. Lemack

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Aims: To evaluate quality of life in patients with neurogenic bladder (NGB) conditions who have elected to undergo suprapubic catheterization (SPC), as well as assess adverse events (AEs) related to the procedure. Methods: This is a retrospective review from a database of NGB patients from 1/1/2003 to 6/30/2013. Patients who underwent SPC placement were invited to complete a validated, single item Patient Global Impression of Improvement (PGI-I) questionnaire. Success or positive response was defined as 1 or 2 on a scale of 1–7. All patients were included in the assessment of AEs. Results: Of the 128 patients who underwent SPC, 89 patients (54 female, 35 male) met inclusion criteria. Response rate to the PGI-I questionnaire was 65.2% (58/89). Mean age at the time of SPC placement was 54.4 years (± 14.4). The mean time from SPC placement to PGI-I questionnaire was 48.3 months (Range 4.4–128.4). Overall, success was seen in 49/58 patients (84.5%). Only 5.2% (3/58) patients reported a negative PGI-I (score 5/7). There was an 18.8% rate of short term complications, with the majority of these being classified as Clavien I. There was one Clavien IIIb complication (0.8%), which consisted of a small bowel perforation. Conclusions: SPC is an effective bladder management in carefully selected NGB patients who have failed other options. Over 80% considered the SPC to have improved their urological quality of life with a mean time to questionnaire of 4 years. Severe AEs are rare, though can be particularly serious in this group of neurologically impaired patients. Neurourol. Urodynam. 35:831–835, 2016.

Original languageEnglish (US)
Pages (from-to)831-835
Number of pages5
JournalNeurourology and Urodynamics
Volume35
Issue number7
DOIs
StatePublished - Sep 1 2016

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Neurogenic Urinary Bladder
Catheters
Quality of Life
Catheterization

Keywords

  • complications
  • neurogenic bladder conditions
  • quality of life
  • suprapubic catheter

ASJC Scopus subject areas

  • Medicine(all)
  • Clinical Neurology
  • Urology

Cite this

Quality of life after suprapubic catheter placement in patients with neurogenic bladder conditions. / Lavelle, Rebecca S.; Coskun, Burhan; Bacsu, Chasta D.; Gliga, Louise A.; Christie, Alana L.; Lemack, Gary E.

In: Neurourology and Urodynamics, Vol. 35, No. 7, 01.09.2016, p. 831-835.

Research output: Contribution to journalArticle

Lavelle, Rebecca S. ; Coskun, Burhan ; Bacsu, Chasta D. ; Gliga, Louise A. ; Christie, Alana L. ; Lemack, Gary E. / Quality of life after suprapubic catheter placement in patients with neurogenic bladder conditions. In: Neurourology and Urodynamics. 2016 ; Vol. 35, No. 7. pp. 831-835.
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abstract = "Aims: To evaluate quality of life in patients with neurogenic bladder (NGB) conditions who have elected to undergo suprapubic catheterization (SPC), as well as assess adverse events (AEs) related to the procedure. Methods: This is a retrospective review from a database of NGB patients from 1/1/2003 to 6/30/2013. Patients who underwent SPC placement were invited to complete a validated, single item Patient Global Impression of Improvement (PGI-I) questionnaire. Success or positive response was defined as 1 or 2 on a scale of 1–7. All patients were included in the assessment of AEs. Results: Of the 128 patients who underwent SPC, 89 patients (54 female, 35 male) met inclusion criteria. Response rate to the PGI-I questionnaire was 65.2{\%} (58/89). Mean age at the time of SPC placement was 54.4 years (± 14.4). The mean time from SPC placement to PGI-I questionnaire was 48.3 months (Range 4.4–128.4). Overall, success was seen in 49/58 patients (84.5{\%}). Only 5.2{\%} (3/58) patients reported a negative PGI-I (score 5/7). There was an 18.8{\%} rate of short term complications, with the majority of these being classified as Clavien I. There was one Clavien IIIb complication (0.8{\%}), which consisted of a small bowel perforation. Conclusions: SPC is an effective bladder management in carefully selected NGB patients who have failed other options. Over 80{\%} considered the SPC to have improved their urological quality of life with a mean time to questionnaire of 4 years. Severe AEs are rare, though can be particularly serious in this group of neurologically impaired patients. Neurourol. Urodynam. 35:831–835, 2016.",
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AB - Aims: To evaluate quality of life in patients with neurogenic bladder (NGB) conditions who have elected to undergo suprapubic catheterization (SPC), as well as assess adverse events (AEs) related to the procedure. Methods: This is a retrospective review from a database of NGB patients from 1/1/2003 to 6/30/2013. Patients who underwent SPC placement were invited to complete a validated, single item Patient Global Impression of Improvement (PGI-I) questionnaire. Success or positive response was defined as 1 or 2 on a scale of 1–7. All patients were included in the assessment of AEs. Results: Of the 128 patients who underwent SPC, 89 patients (54 female, 35 male) met inclusion criteria. Response rate to the PGI-I questionnaire was 65.2% (58/89). Mean age at the time of SPC placement was 54.4 years (± 14.4). The mean time from SPC placement to PGI-I questionnaire was 48.3 months (Range 4.4–128.4). Overall, success was seen in 49/58 patients (84.5%). Only 5.2% (3/58) patients reported a negative PGI-I (score 5/7). There was an 18.8% rate of short term complications, with the majority of these being classified as Clavien I. There was one Clavien IIIb complication (0.8%), which consisted of a small bowel perforation. Conclusions: SPC is an effective bladder management in carefully selected NGB patients who have failed other options. Over 80% considered the SPC to have improved their urological quality of life with a mean time to questionnaire of 4 years. Severe AEs are rare, though can be particularly serious in this group of neurologically impaired patients. Neurourol. Urodynam. 35:831–835, 2016.

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