urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2023-11-3-131-141urovest-763Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS ARTICLEКомплаентность к периодической катетеризации мочевого пузыря у пациентов после позвоночно-спинномозговой травмыCompliance of patients to clean intermittent self-catheterization after spinal cord injuryhttps://orcid.org/0000-0002-7128-6400СалюковР. В.SalyukovR. V.

Роман Вячеславович Салюков — канд. мед. наук; научный сотрудник; доцент кафедры медицинской реабилитации

Москва

Roman V. Salyukov — M.D., Cand.Sc.(Med); Researcher; Assoc.Prof., Dept. of Medical Rehabilitation

Moscow

salyukov2012@yandex.ruhttps://orcid.org/0000-0002-2076-2016РигерА. Н.RigerA. N.

Александра Николаевна Ригер — врач-онколог отделения химиотерапии

Москва

Aleksandra N. Riger — M.D.; Oncologist, Oncology and Chemotherapy Division

Moscow

aleksriger96@mail.ruhttps://orcid.org/0000-0002-5198-288XФроловаМ. В.FrolovaM. V.

Мария Валерьевна Фролова — аспирант кафедры урологии и андрологии факультета фундаментальной медицины

Москва

Maria V. Frolova — M.D., Postgrad. Student; Dept. of Urology and Andrology, Faculty of Fundamental Medicine

Moscow

mary.froloy@yandex.ruhttps://orcid.org/0000-0003-3180-5525ИвановаГ. Е.IvanovaG. E.

Галина Евгеньевна Иванова — д-р мед. наук, профессор; главный внештатный специалист по медицинской реабилитации; заведующая кафедрой медицинской реабилитации; руководитель НИЦ медицинской реабилитации

Москва

Galina E. Ivanova — M.D., Dr.Sc.(Med), Full Prof.; Chief Visiting Specialist in Medical Rehabilitation of the Ministry of Healthcare of the Russian Federation & Federal Medical and Biological Agency of Russia; Head, Dept. of Medical Rehabilitation; Head, Research Centre of Medical Rehabilitation

Moscow

reabilivanova@mail.ruРоссийский научный центр рентгенорадиологии; Российский национальный исследовательский медицинский университет им. Н. И. ПироговаРоссияRussian Scientific Centre of Roentgenology and Radiology; Pirogov Russian National Research Medical University (Pirogov Medical University)Russian FederationМосковский областной научно-исследовательский клинический институт им. М. Ф. ВладимирскогоРоссияMoscow Regional Research and Clinical Institute ("MONIKI")Russian FederationМосковский государственный университет имени М. В. ЛомоносоваРоссияLomonosov Moscow State UniversityRussian FederationРоссийский национальный исследовательский медицинский университет им. Н. И. Пирогова; Федеральный центр мозга и нейротехнологийРоссияPirogov Russian National Research Medical University (Pirogov Medical University); Federal Centre for Brain and NeurotechnologyRussian Federation202305102023113131141Copyright © Салюков Р.В., Ригер А.Н., Фролова М.В., Иванова Г.Е., 20232023Салюков Р.В., Ригер А.Н., Фролова М.В., Иванова Г.Е.Salyukov R.V., Riger A.N., Frolova M.V., Ivanova G.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.urovest.ru/jour/article/view/763

Периодическая катетеризация (ПК) мочевого пузыря на протяжении многих лет была признана наиболее доступным методом симптоматической коррекции нарушения функции опорожнения мочевого пузыря. Однако не все пациенты оказываются привержены к длительному использованию метода ПК из-за возможных осложнений со стороны мочевыводящих путей, социальной и психологической дезадаптации. На основании многочисленных исследований было выявлено, что ПК катетерами с фиксированным гидрофильным покрытием значительно снижает риск развития инфекций мочевыводящих путей и травматического повреждения уретры, улучшает качество жизни и психологическое состояния пациентов с нарушением мочеиспускания после позвоночно-спинномозговой травмы. Усовершенствование качества медицинского изделия, техники его использования и персонализированный подход позволили снизить частоту нежелательных явлений и процент пациентов, отказавшихся от ПК. Таким образом ПК всё ещё остаётся наиболее предпочтительным методом дренирования мочевого пузыря при нейрогенной дисфункции нижних мочевыводящих путей. Также всё больше специалистов считают метод наиболее доступным и безопасным. Цель данного обзора — проанализировать преимущества и недостатки ПК мочевого пузыря у пациентов с нейрогенной дисфункцией нижних мочевыводящих путей.

Clean intermittent self-catheterisation (CISC) was for many years considered the most preferable method to drain the bladder in patients with lower urinary tract disfunction. However, concerning long-term CISC, the adherence rate to the method was limited due to complications, psychological barriers, physical disabilities and social disadaptation. According to results of last studies hydrophilic catheters decrease the prevalence of recurrent urinary tract infections (UTIs) and urethral trauma. Thereby patients with voiding difficulties after spinal cord injury (SCI) could gain a better quality of life and acceptance of CISC. New coated catheters improved self-catheterisation techniques, personalised management, and better access to help and advice reduced the frequency of side effects. Furthermore, the percentage of unsatisfied patients who rejected the method fell. Consequently, CICS remains the most useable clean technique to drain the bladder regarding neuro-urological patients. Most of physicians have already admitted, that CICS seems to be a safe and easy-to-learn method. In this review we aimed to analyze all pros and cons of CICS relating to patients with lower urinary tract dysfunction after SCI.

периодическая катетеризацияинтермиттрирующая катетеризация мочевого пузырянейрогенный мочевой пузырьнейрогенная дисфункция нижних мочевыводящих путейдренирование мочевого пузыряпозвоночно-спинномозговая травмаинфекции мочевыводящих путейintermittent self-catheterizationintermittent catheterizationneurogenic bladderneurogenic lower urinary tract dysfunctionbladder emptyingspinal cord injuryurinary tract infectionsReferencesКадыков А.С., Шведков В.В., Коршунова Е.С., Пряников И.В. Место нейроурологии в системе клинической неврологии. Нейроурологическая реабилитация. Физическая и реабилитационная медицина, медицинская реабилитация. 2019;1(4):72-76. DOI: 10.36425/2658-6843-2019-4-72-76Kadykov A.S., Shvedkov V.V., Korshunova E.S., Pryanikov I.V. Place of neurourology in the clinical neurology system. Neurourological rehabilitation. Physical and rehabilitation medicine, medical rehabilitation. 2019;1(4):72-76. (In Russian). DOI: 10.36425/2658-6843-2019-4-72-76Шварц П.Г., Попов С.В. 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The authors declare that there are no conflicts of interest present.