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Intermittent catheterisation for neuropathic urinary incontinence.
M N de la Hunt1, S Deegan, J E Scott
1Department of Paediatric Surgery, Royal Victoria Infirmary, Newcastle upon Tyne.
Archives of Disease in Childhood
|June 1, 1989
Summary
Clean intermittent catheterisation (CIC) effectively manages neuropathic urinary incontinence in children, with most patients achieving dryness. This long-term study shows CIC is safe and well-tolerated, remaining a preferred treatment option.
Area of Science:
- Pediatric Urology
- Neurology
- Nephrology
Background:
- Neuropathic urinary incontinence significantly impacts children's quality of life.
- Long-term management strategies are crucial for this patient population.
Purpose of the Study:
- To evaluate the long-term efficacy and safety of clean intermittent catheterisation (CIC) in children with neuropathic urinary incontinence.
- To assess complication rates and patient tolerance of CIC over an extended period.
Main Methods:
- Retrospective review of 86 children with neuropathic urinary incontinence treated with CIC for over five years.
- Analysis of continence status, reasons for abandoning CIC, infection rates, and urological complications.
Main Results:
- 84% of patients achieved dryness or only minor stress incontinence during the day.
- Only 32 patients developed occasional symptomatic infections; serious complications were infrequent.
- No new upper urinary tract dilatation occurred in previously normal renal systems during CIC.
Conclusions:
- Clean intermittent catheterisation is a highly successful and well-tolerated treatment for neuropathic urinary incontinence in children.
- CIC demonstrates a favorable safety profile with few serious complications, making it the preferred management option.