From time dependent intermittent selfcatheterisation to volume dependent selfcatheterisation in multiple sclerosis using the PCI 5000 Bladdermanager.

Abstract

The use of portable, patient controlled, ultrasound device for the measurement of the bladder volume (PCI 5000, Bladdermanager) in the management of neurogenic bladder dysfunction in Multiple Sclerosis is presented. Twenty-three patients were transferred from time dependent intermittent catheterisation to volume dependent intermittent catheterisation using this device. Evaluation of the accuracy of the measurements showed an accuracy of 91.05%. The efficacy per catheterisation improved significantly from 260.8 cc +/- 154 cc to 297.5 cc +/- 138 cc. The frequency of incontinence measured during 48 h decreased on the entire group from 69 to 39. Six patients could delete one catheterisation a day. Functional Independence Measurements (FIM score) did not show an increase of the level of assistance needed, using this device.