The impact of continence - reviewed fourteen years later
Authors: Lissa Higgins, Sheilagh Reid
Background
In 1994, a qualitative study was conducted on the impact of
surgically acquired continence in 17 young people with spina
bifida. All had undergone the dual procedures of augmentation
cystoplasty and insertion of artificial urinary sphincter.
In structured interviews, the study assessed changes in quality
of life in a number of categories: ability to live independently of
carers, ability to undertake paid work or study, ability to develop
friendships, ability to enjoy sexual relationships, ability
to enjoy wearing a greater variety of clothing.
In all categories a positive impact was demonstrated by the
participants becoming continent of urine.
The present paper reviews what has happened to the urinary
continence status of this series of patients over the 14 years
since the original study.
Materials and Methods
The review was conducted by examination of the patients'
records.
Results
Of 17 participants: 15 are dry. 2 are respectively:
1 wet and 1 damp. Neither wishes further surgery.
6 are dry from the original surgery.
Of the other 9, participants have undergone between 1 and 7
procedures to remain dry.
Conclusions
Surgically acquired continence is effective long term both with
and without additional procedures.
Urology Nurse Specialists Office, Princess Royal Spinal
Injuries Centre, Northern General Hospital, Herries Rd., Sheffield
S5 7AU, UK
E-mail phiggins4@sky.com
