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The role of adjunctive drug therapy for intermittent catheterization and self-catheterization in children with

N Hilwa, A D Perlmutter

    The Journal of Urology
    |April 1, 1978
    PubMed

    Insights

    Clean intermittent catheterization effectively manages pediatric vesical dysfunction, improving continence and reducing infections. This method is a preferred alternative to urinary diversion for neurogenic bladder cases.

    Area of Science:

    • Pediatric Urology
    • Nephrology

    Background:

    • Vesical dysfunction in children presents significant management challenges.
    • Neurogenic bladder dysfunction often necessitates complex treatment strategies.

    Purpose of the Study:

    • To evaluate the efficacy of clean intermittent catheterization (CIC) in managing pediatric vesical dysfunction.
    • To assess the impact of CIC on urinary continence, infection rates, reflux, and hydronephrosis.

    Main Methods:

    • Retrospective analysis of 39 children with vesical dysfunction managed with CIC.
    • Assessment of continence, use of adjunctive pharmacotherapy (detrusor relaxants, bladder neck contractants), and urological outcomes.

    Main Results:

    • Most children achieved effective urinary continence with CIC.
    • Adjunctive drug therapy was frequently required to optimize continence.
    • CIC demonstrated a favorable impact on urinary tract infections, reflux, and hydronephrosis.

    Conclusions:

    • Clean intermittent catheterization is a highly effective treatment for pediatric vesical dysfunction.
    • CIC offers a superior alternative to urinary diversion for neurogenic bladder in children.

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