The outcome of voiding dysfunction managed with clean intermittent catheterization in neurologically and anatomically normal children

摘要: Objective To describe the tolerability and efficacy of clean intermittent catheterization (CIC) in management dysfunctional voiding patients who are neurologically anatomically normal. Patients methods The medical records were reviewed 23 (16 girls, mean age 9 years, range 6–14.5, seven males, 8 5–20.5) with urinary incontinence and/or tract infection (UTI) offered CIC because they had a large postvoid residual urine volume (PVR). All extensive instruction before starting CIC. underwent urodynamic studies, fecal elimination habits recorded. Detrusor hyperactivity, when present, was treated anticholinergic medication. The follow-up evaluation included tolerance CIC, continence status incidence UTI. Behavioural modification or biofeedback training not used any patient. Results Of patients, 13 presented both UTI incontinence, five only, four one frequency no haematuria. Associated symptoms frequency/urgency, constipation soiling, straining to void incomplete emptying (in nine each), infrequent six. performed within 2 days by 15 while others required up 2 weeks master However, three (all older girls) needed learn technique did tolerate discontinued it 3 weeks. Four other adolescents (three girls boy) refused Of 16 remaining on only cystitis; patient febrile Once successfully instituted, all became continent Six boys (mean 4 months) marked decrease their PVR. voided normally emptiness 6 months CIC; remained dry infection-free (two) years later. Conclusion CIC is viable therapeutic option for treatment voiding, associated PVR, absence neurological abnormality. well tolerated sensate provides means expeditiously achieving improving bladder cost-effectively.