Patient acceptance of clean intermittent self-catheterization: comparing urethral route and Mitrofanoff stoma

Abstract

The prospective, cross-sectional study was conducted at the Department of Urology, Sindh Institute of Urology and Transplantation, Karachi, from February to July 2022 to compare outcomes related to Clean Intermittent Self-Catheterisation via the urethral route and Mitrofanoff stoma. A total of 114 patients were divided into two urethral Clean Intermittent Self-Catheterisation Group A and Mitrofanoff Clean Intermittent Self-Catheterisation Group B. Quality of life, frequency, pain and difficulty associated with Clean Intermittent Self-Catheterisation were assessed using validated 12-item Medical Outcomes Study Short Form questionnaire. Data was analysed using SPSS 27. Group A had a mean age of 35.82±14.68 years, while Group B had a mean age of 29.03±14.42 years. Group B had a higher daily catheterisation frequency (5.85±2.03) than Group A (4.12±1.31) (p=0.001). No significant differences were observed in catheter size, difficulty, discomfort or quality of life outcomes between the groups. The study demonstrated that both Clean Intermittent Self-Catheterisation methods were feasible and well-accepted by the patients.

Key Words: Clean intermittent self-catheterisation, Mitrofanoff stoma, Visual analogue score.