Intermittent catheterisation in congenital neurogenic bladder: a preliminary report

Area of Science:

• Pediatric Urology
• Nephrology

Background:

• Congenital neurogenic bladder presents significant management challenges in children.
• Maintaining continence and preventing upper tract damage are critical.

Purpose of the Study:

• To evaluate the efficacy and safety of intermittent catheterisation for managing congenital neurogenic bladder.
• To assess the impact on continence, urinary tract infections, and renal function.

Main Methods:

• A cohort of 53 children with congenital neurogenic bladder managed with intermittent catheterisation was studied.
• Outcomes assessed included continence, urinary tract infections, and upper tract status.

Main Results:

• Intermittent catheterisation successfully controlled continence and urinary tract infections.
• No significant upper tract deterioration was observed.
• Complications were negligible, and patient/parent preference favored this method over the Crédé manoeuvre.

Conclusions:

• Intermittent catheterisation is a safe and effective long-term management strategy for congenital neurogenic bladder in children.
• It obviates the need for urinary diversion and offers a preferred alternative to other methods.