Factors Affecting Compliance to Clean Intermittent Catheterization: Retrospective Analysis of 236 Patients

Objective: Neurogenic lower urinary tract dysfunction is a condition that occurs due to an underlying neurological problem and clean intermittent catheterization (CIC) is used in its treatment. In this study, we aimed to evaluate the compliance of patients with the use of CIC. Material and Methods: The data of 302 patients, who were treated with clean intermittent catheters (self-lubricant, disposable) by the same physician between 2016-2019 were retrospectively analyzed. The patients' age, gender, reasons for using CIC, and the presence of urinary incontinence when CIC was recommended were noted. Patients who discontinued CIC use were questioned when they quit and the reasons for quitting. Results: Of the 236 patients included in the study, 54.2% (n=128) were male and 45.8% (n=108) were female. Reasons for using CIC of the patients are multiple sclerosis in 39.8% (n=94), spinal cord lesion in 37.7% (n=89), cerebrovascular disease in 14.4% (n=34), and other reasons in 8.1% (n=19). It was observed that 67.8% of patients still use CIC, 26.7% stopped using CIC within the first year, and 5.5% after one year. The reasons for quitting were social reasons (13.2%), physician recommendation (38.1%), believing that it will not be beneficial (22.4%), and difficulty in using CIC (18.4%). Conclusion: Although CIC is the gold standard treatment in neurogenic lower urinary tract dysfunction, the most important factor in the success of treatment is patient compliance.

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