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Complications of clean intermittent catheterization in boys and young males with neurogenic bladder dysfunction

Artikel i vetenskaplig tidskrift
Författare Birgitta Lindehall
Kate Abrahamsson
Kelm Hjälmås
Ulf Jodal
Ingrid Olsson
Ulla Sillén
Publicerad i J Urol
Volym 172
Nummer/häfte 4 Pt 2
Sidor 1686-8
ISSN 0022-5347 (Print)
Publiceringsår 2004
Publicerad vid Institutionen för kvinnors och barns hälsa, Avdelningen för pediatrik
Institutionen för de kirurgiska disciplinerna, Avdelningen för urologi
Sidor 1686-8
Språk en
Länkar www.ncbi.nlm.nih.gov/entrez/query.f...
Ämnesord Child, Child, Preschool, Humans, Infant, Male, Meningomyelocele/complications, Retrospective Studies, Urinary Bladder, Neurogenic/etiology/*therapy, Urinary Catheterization/*adverse effects
Ämneskategorier Medicin och Hälsovetenskap

Sammanfattning

PURPOSE: We evaluate the risk for urethral lesions and epididymitis in boys with neurogenic bladder dysfunction treated by clean intermittent catheterization (CIC) for a minimum of 10 years. MATERIALS AND METHODS: The medical records of 28 males with neurogenic bladder dysfunction followed from the start of CIC until the age of 15 to 20 years were reviewed. RESULTS: CIC had been performed for a median of 16 years (range 10 to 21). Overall CIC was used for 438 years (265 before and 173 after puberty). During 76% of the years a noncoated polyvinyl chloride catheter with lubrication was used and in 24% of years a hydrophilic coated polyvinyl chloride catheter was used. The catheter size was 12C or greater in 43% of the cases. Independence from self-catheterization occurred during 37% of the CIC years. Of the patients 19 experienced at least 1 episode of difficulty inserting the catheter and/or had macroscopic hematuria on a total of 42 occasions. Major urethral lesions were seen on cystoscopy in 7 patients on 9 occasions (5 false passages, 1 superficial recess, 2 meatal stenoses, 1 urethral stricture). Major urethral lesions were not associated with puberty and did not occur during self-catheterization or with use of catheters 12C or greater. Epididymitis was seen in only a 12 year-old boy. CONCLUSIONS: The overall rate of complications was low. The incidence of major urethral lesions did not increase during puberty. Self-catheterization and 12C catheter or greater seemed to be protective against major lesions.

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