Sixty-two children with myelomeningocele and neurogenic bladders have been managed with clean intermittent catheterization (CIC) at home for periods of 6 to 42 months. Abnormal upper urinary tracts improved or stabilized in 83 per cent of the children. There was no renal deterioration in children who began with normal upper tracts while on CIC. Bacteruria was common, but clinically not a problem, unless ureterovesical reflux was present. Urinary con trol was improved in 66 per cent of the children. CIC is an effective and safe method to regularly empty the urinary bladder and is an alternative to supra vesical urinary diversion in many children with neurogenic bladders.
Get full access to this article
View all access options for this article.
References
1.
Lapides J., Diokno AC, Silber SJ, Lowe BD: Clean, intermittent self-catheterization in the treatment of urinary tract disease. J Urol107:458, 1972
2.
Hardy DA, Melick WF, Gregory JG, Schoenberg HW: Intermittent cathetherization in children. Urology5:206, 1975
3.
Hutch JA, Chisholm ER, Smith DR: Summary of pathogenesis of, and new classification for urinary tract infections (and a report of 381 cases to which this classification has been applied) . J Urol102: 758, 1969
4.
Lyon RP, Scott MP, Marshall S.: Intermittent catheterization rather than urinary diversion in children with myelomeningocete. J Urol113: 409, 1975
5.
Middleton AW , Jr, Hendren WH: Ileal conduits in children at the Massachusetts General Hospital from 1955 to 1970. J Urol115:591, 1976
6.
Mulcahy JJ, James HE, McRoberts JM: Oxybutynin chloride combined with intermittent clean catheterization in the treatment of myelomeningocele patients. J Urol118:86, 1977
7.
Sperling KB: Intermittent catheterization to obtain catheter-free bladder function in spinal cord injury. Arch Phys Med Rehab59:4, 1978
