Clean intermittent catheterization in the management of children with neurogenic vesicle dysfunction

ABSTRACT

Clean intermittent catheterization [CIC] has been shown to be an effective, safe and an easy method of managing patients with neurogenic vesical dysfunction. A total of seventy four children with neurogenic vesical dysfunction were treated with CIC at two institutes. There were children from the Children's Hospital of Eastern Ontario [CHEO] in Ottawa, Canada, and eleven patients from King Abdulaziz University Hospital [KAUH] in Jeddah, Saudi Arabia. The complication rate encountered was low. Most patients demonstrated stable upper urinary tracts. One of our patients as only four months old. In some patients vesico ureteral reflux improved without surgical intervention. Chronic indwelling catheterization or supravesical diversion are alternatives that are associated with morbidity and mortality