The MIC-KEY button vesicostomy: a superior alternative for suprapubic drainage?
Adolescent
Adult
Catheters, Indwelling
Cystostomy
/ instrumentation
Drainage
/ instrumentation
Equipment Design
Female
Humans
Male
Middle Aged
Patient Satisfaction
/ statistics & numerical data
Pilot Projects
Prospective Studies
Treatment Outcome
Urinary Bladder, Neurogenic
/ physiopathology
Urinary Catheterization
/ instrumentation
MIC-KEY
bladder drainage
button vesicostomy
catheter
suprapubic catheter
vesicostomy
Journal
BJU international
ISSN: 1464-410X
Titre abrégé: BJU Int
Pays: England
ID NLM: 100886721
Informations de publication
Date de publication:
02 2020
02 2020
Historique:
pubmed:
6
8
2019
medline:
7
7
2020
entrez:
6
8
2019
Statut:
ppublish
Résumé
To evaluate the MIC-KEY button vesicostomy as an alternative to indwelling suprapubic catheters (SPCs) for bladder drainage in adults. Phase II pilot study prospectively evaluating patients with indwelling SPCs that were converted to MIC-KEY buttons, or cystoscopic-guided de novo insertion, between November 2014 and February 2019. In all, 15 patients (14 female, one male) had indwelling SPCs that had conversion or attempted conversion to MIC-KEY button, and one (male) had a cystoscopic-guided de novo insertion with a history of previous suprapubic catheterisation. The mean (range) age was 44.2 (13-73) years. Catheter-related quality-of-life (C-IQoL) questionnaire data were collected at baseline and 3 months. Two patients had attempted conversion but were abandoned perioperatively due to sizing issues and insertion difficulties, respectively. Three patients were subsequently converted back to a SPC; due to button sizing (18 days), leaking (3 months), and recurrent infection (13 months). The remaining 11 patients have remained well with continued drainage via the MIC-KEY button; mean (range) duration since conversion was 34.2 (5-105) months. The C-IQoL score improved 3 months after insertion, from 50.0 to 75.4. Changes were performed dependent on patient's personalised management, typically every 3 months, under local or general anaesthetic. The MIC-KEY button is a safe alternative to SPC drainage in adults in the short- to medium-term, in a selected cohort.
Types de publication
Clinical Trial, Phase II
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
299-303Informations de copyright
© 2019 The Authors BJU International © 2019 BJU International Published by John Wiley & Sons Ltd.
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