Factors influencing the use of intermittent bladder catheterization by individuals with spina bifida in Brazil and Germany

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Study identified and analyzed the factors that influence the use of intermittent catheterization (IC) by individuals with spina bifida and neurogenic bladder in Brazil and Germany. Data were collected using printed (Brazil) and online (Germany) questionnaires, and analyzed using multivariate logistical regression and analysis of variance. The study included 100 Brazilian and 100 German patients, aged 0-55 years, with spina bifida who utilized IC. Results indicated that IC was used by 188 of the 200 patients. Three variables were important for predicting who did or did not use IC: no discontinuation of IC, absence of technical difficulty, and daily frequency of IC. The findings suggest that difficulties with IC use experienced by spina bifida patients and their family members that predicted full discontinuation tended to be personal variables, rather than demographic or medical characteristics.

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