Determining the variables associated to clean intermittent self-catheterization adherence rate: one-year follow-up study.

TLDR: Women, neurogenic voiding dysfunction and patients under 40 years old were significantly more adherents to CISC, and the psychological and social relationship status seems to positively interfere on adherence.

Abstract: Purpose: To determine adherence rate and variables associate with patients’ adherence to Clean Intermittent Self Cath-eterization (CISC). Materials and Methods: Patients refereed to CISC training program between July 2006 and May 2008, were prospec-tively evaluated with urodynamic, 3 days bladder diary (BD) and WHOQoL-bref questionnaire. After training to perform CISC, patients were evaluated at 2 weeks, monthly for 6 months and at 12 months with clinical visits and BD. Patients were considered adherent if they were performing at least 80% of the initial recommendation. Results: Sixty patients (50.4 ± 19.9 years old) were trained to perform CISC (21 female and 39 male). Out of them, 30 (50%) had neurogenic and 30 (50%) had a non-neurogenic voiding dysfunction. The adherence rate at 6 and 12 months was 61.7%, 58%, respectively. Patients < 40 years old had adherence rate of 86%. Women and neurogenic patients had higher adherence rate than their counterparts (p = 0.024 and p = 0.016, respectively). In the WHOQoL-bref, patients that adhere to the program had a significant higher score on psychological and social relationships domains. There was not difference in pre and post training WHOQoL-bref scores. Educational background, marriage status, detrusor leak point pressure, Bladder Capacity, number of leakage episodes did not play a role on the adherence rate.