Rethinking suprapubic XXXX : new trial with timed drainage.

@entity1 @entity409 @entity2335 @entity293
PURPOSE: Today, many @entity1 with @entity409 select suprapubic cystostomy (SPC) instead of clean intermittent catheterization (CIC) for practical reasons. There is thus a need to reconsider SPC as a management for @entity409 . We designed SPC with timed drainage (TSPCD) and evaluated its effectiveness compared with continuous drainage with a urine bag (CSPCD). MATERIALS AND METHODS: Between January 2006 and January 2010, a total of 82 @entity1 underwent SPC. @entity1 undergoing SPC were randomly assigned to CSPCD or TSPCD. @entity1 characteristics, complications, and the results of urine cultures were compared between the two groups through retrospective chart reviews. Also, preferences for CSPCD and TSPCD in another 15 @entity1 who had experienced both CSPCD and TSPCD were investigated. RESULTS: The CSPCD and TSPCD groups comprised 46 and 36 @entity1 , respectively. In a comparison of complications between the two groups, the incidence of acute symptomatic @entity2335 was significantly lower in the TSPCD group than in the CSPCD group (43% vs. 20%, p=0.032). The incidence of symptomatic @entity293 ( @entity293 ) was lower in the TSPCD group. Positive urine culture rates were 89.7% and 72.4% in groups 1 and 2, respectively. There was a significant difference between the two groups (p=0.004). In another 15 @entity1 who experienced both CSPCD and TSPCD, 14 @entity1 (93%) stated a preference for TSPCD after converting from CSPCD to TSPCD, and one @entity1 (7%) returned to CSPCD only at night. CONCLUSIONS: In this study, TSPCD had the advantages of less morbidity as @entity293 and being more preferable by @entity1 with relatively good daily activity compared with CSPCD. TSPCD is an alternative to CSPCD for the treatment of @entity409 .
