Clean intermittent catheterization in children through a continent catheterizable channel: a developing country experience

The Journal of Urology
Sajid SultanS Adibul Hasan Rizvi

Abstract

We evaluated the role of clean intermittent self-catheterization through a continent catheterizable Mitrofanoff channel in an augmented bladder in children with bladder dysfunction and outlet obstruction. We retrospectively analyzed the records of 82 patients treated at a public sector hospital with pediatric urology services in a developing country. Patients came from all provinces of the country with diverse ethnic, cultural, linguistic, socioeconomic and educational backgrounds. Mean +/- SD patient age was 9.07 +/- 3.38 years (range 2.5 to 15) with a male-to-female ratio 2.5:1.0. The main congenital and acquired abnormalities were posterior urethral valves in 29% of patients, neuropathic bladder in 22%, nonneurogenic neurogenic bladder in 17%, exstrophy plus epispadias in 10% and urethral stricture in 7%. Augmentation cystoplasty was performed using various bowel segments. The Mitrofanoff channel was made using appendix in 70 cases and by the spiral Monti method in 12. A stoma was created in the right iliac fossa using VQZ plasty in 72 patients and an umbilical stoma was created in 10. Complications included bladder calculus in 3 patients, stomal stenosis in 2, subacute intestinal obstruction in 4 and acute intestinal obstru...Continue Reading

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Citations

Mar 4, 2011·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Joseph Thomas
Oct 15, 2011·Urology·Mesrur Selcuk SilayCengiz Miroglu
Jan 27, 2020·European Urology Focus·Ashley W JohnstonJ Todd Purves
Apr 12, 2021·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Sushmita BanerjeeMelvin Bonilla-Felix

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