Time-Opening Suprapubic Catheter versus Intermittent Catheter for Male Patients with Spinal Cord Injury (Spinal Level above Level C5)

Objective: To compare the short-timecomplications associated with time-opening suprapubic catheter (SPT) versusintermittent catheter (IC) in male patients with spinal cord injury (abovelevel C5). Methods: A prospective review of records was carried out to identifySCI patients managed with SPT or IC between 2011 and 2016. The complicationsincluded renal function (Serum creatinine), urinary tract infection (UTI),bladder stones, urethral complications, scrotal, and gross hematuria. Patientswere followed at week 4, 3 and 6 months; the urodynamic assessment was repeatedat 6 months. Results: A total of 30 patients (11 SPT, 19 IC) were recruited inthis trial. There is no significant difference between the two catheter groupsfor the entire out-come. Scrotal abscesses and urethral stricture were onlyseen in patients with IC. Conclusions: SPT has similar urological complicationwith IC for SCI patients (above level C5) except the incidence of scrotalabscesses and urethral stricture.