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Indications for and outcomes of clean intermittent catheterization in children with normal genital sensation
J G Van Savage1, C K Sackett, C L Wilhelm
1Department of Surgery (Section of Pediatric Urology), University of North Carolina School of Medicine, Chapel Hill, USA.
Insights
Clean intermittent catheterization (CIC) is feasible in children with normal genital sensation. Success rates for CIC in pediatric neurogenic bladder patients were two-thirds, with comfort being key.
Area of Science:
- Pediatric Urology
- Neurogenic Bladder Management
- Urological Rehabilitation
Background:
- Clean intermittent catheterization (CIC) is a standard treatment for neurogenic bladder.
- Parental and child acceptance of CIC is generally high.
- The feasibility of CIC in children with normal genital sensation requires further investigation.
Purpose of the Study:
- To analyze the indications for CIC in children with normal genital sensation.
- To assess the feasibility and outcomes of CIC in this specific pediatric population.
- To evaluate the psychological impact of CIC on children with normal genital sensation.
Main Methods:
- Retrospective review of 17 pediatric patients (2 girls, 15 boys) aged 15 months to 15 years undergoing CIC.
- Indications included urinary retention and poor urodynamic compliance, with or without hydronephrosis.
- Parental questionnaires and age-appropriate psychological assessments were used to evaluate outcomes and impact.
Main Results:
- No medical complications were reported with CIC.
- Successful continuation of CIC was observed in 4 of 7 children with urinary retention and 7 of 10 with poor bladder compliance.
- No significant differences in psychological development were noted between successful and unsuccessful CIC cases.
- Patient and parent comfort levels were identified as critical factors for CIC success.
Conclusions:
- Clean intermittent catheterization is a feasible treatment option for children with neurogenic bladder and normal genital sensation.
- The overall success rate for CIC in this cohort was approximately two-thirds.
- Comfort and psychological well-being are paramount for successful long-term CIC management in children.
Purpose:
Clean intermittent catheterization is generally accepted by parents and children with neurogenic bladder. We analyzed the indications for and feasibility of clean intermittent catheterization in children with normal genital sensation.
Materials And Methods:
We reviewed the records of 2 girls and 15 boys 15 months to 15 years old (mean age 8 years) on clean intermittent catheterization with normal genital sensation. Indications for clean intermittent catheterization were urinary retention and poor urodynamic compliance with or without hydronephrosis. Parents evaluated the protocol via a questionnaire and the children were studied with age appropriate standard instruments to assess the consequences of clean intermittent catheterization on psychological development.
Results:
There were no medical complications related to clean intermittent catheterization. Four of the 7 children with urinary retention and 7 of the 10 with poor bladder compliance continued the protocol. There was no difference in the results of psychological testing for patients who had success or failure (mean followup 5 years). Parent and patient comfort levels were most important for the success of clean intermittent catheterization.
Conclusions:
Our results show that clean intermittent catheterization is feasible in children with normal genital sensation but successful in only two-thirds.