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Related Experiment Videos

Five-year experience with clean intermittent catheterization in children

J M Plunkett, V Braren

    Urology
    |August 1, 1982
    PubMed
    Summary

    Clean intermittent catheterization (CIC) is a safe and effective treatment for children with neurogenic bladder dysfunction. This study found a low complication rate and stable upper tracts in most patients, recommending early initiation of CIC.

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    Pediatric research·1993

    Area of Science:

    • Pediatric Urology
    • Nephrology
    • Neurology

    Background:

    • Neurogenic vesical dysfunction affects children's bladder emptying.
    • Clean intermittent catheterization (CIC) is a management option.
    • Long-term outcomes of CIC in pediatric populations require evaluation.

    Purpose of the Study:

    • To assess the efficacy and safety of CIC in children with neurogenic vesical dysfunction.
    • To evaluate complications, urinary tract infections, and upper tract changes associated with CIC.
    • To determine the optimal age for initiating CIC.

    Main Methods:

    • Retrospective analysis of 98 children treated with CIC over five years.
    • Follow-up data available for 73 patients.
    • Assessment of complication rates, sterile urine maintenance, reflux changes, and upper tract status.

    Main Results:

    • Low major complication rate (7%).
    • 21% maintained sterile urine; no new pyelonephritis cases.
    • 14% of refluxing renal units stopped refluxing; de novo reflux occurred in 2 units.
    • 79% showed stable upper tracts; 14% had increased calicectasis.
    • 31 patients were under three years old at CIC initiation.

    Conclusions:

    • CIC is recommended as a primary treatment for neurogenic vesical dysfunction in children.
    • Early initiation of CIC is advised for optimal outcomes.
    • While sterile urine is not always achieved, CIC effectively manages bladder emptying and stabilizes upper tracts.

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