Hellström P, Tammela T, Lukkarinen O, Kontturi M
Department of Surgery, Oulu University Central Hospital, Finland.
Eur Urol. 1991;20(2):117-21. doi: 10.1159/000471678.
A prospective study was carried out on the efficacy and safety of clean intermittent catheterization (CIC). The series included 41 adults (15 females, 26 males), the mean follow-up time being 40 months. Most patients were suffering from neurogenic bladder disorders. All of them used a self-lubricating hydrophilic catheter. Thirty-one patients (76%) continued to undergo CIC, but 9 discontinued. Thirty patients (73%) experienced bacteriuria during the procedure. Three males had epididymitis. Contrary to many earlier reports, urinary tract infections seem to increase after CIC, raising the question of whether prophylactic antibiotic therapy should be used more often in these cases. There were no urethral complications suggesting that the self-lubricating hydrophilic catheters may be less traumatic than those used previously.
对清洁间歇性导尿（CIC）的疗效和安全性进行了一项前瞻性研究。该系列包括41名成年人（15名女性，26名男性），平均随访时间为40个月。大多数患者患有神经源性膀胱疾病。他们都使用了自润滑亲水导管。31名患者（76%）继续接受CIC，但9名患者中断。30名患者（73%）在导尿过程中发生菌尿。3名男性患有附睾炎。与许多早期报告相反，CIC后尿路感染似乎有所增加，这就提出了在这些病例中是否应更频繁地使用预防性抗生素治疗的问题。没有尿道并发症，这表明自润滑亲水导管可能比以前使用的导管创伤性更小。
