Clean intermittent catheterization in congenital neurogenic bladder

Area of Science:

• Pediatric Urology
• Nephrology
• Neurology

Background:

• Congenital neurogenic bladder dysfunction affects children and young adults.
• Management often requires long-term strategies to prevent complications.
• Clean intermittent catheterization (CIC) is a common treatment modality.

Purpose of the Study:

• To evaluate the efficacy and safety of clean intermittent catheterization (CIC).
• To assess outcomes in pediatric and young adult patients with congenital neurogenic bladder.
• To analyze effects on urinary infection rates, continence, and upper urinary tract status.

Main Methods:

• Retrospective study including 34 patients with congenital neurogenic bladder.
• Follow-up duration exceeded 3 months for all participants.
• Data collected on urinary infection rates, urinary continence, and upper tract status.

Main Results:

• 86% of patients experienced a reduction in urinary infection rates.
• 91% of patients showed improvement in urinary continence.
• 46% of subjects demonstrated improvement in upper urinary tract condition.
• No major complications were reported during the study period.

Conclusions:

• Clean intermittent catheterization is an effective treatment for congenital neurogenic bladder in children and young adults.
• CIC leads to significant improvements in infection rates and urinary continence.
• The procedure is associated with favorable upper tract outcomes and a good safety profile.