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

The Journal of Urology
B LindehallU Sillén

Abstract

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. 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. 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 onl...Continue Reading

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Citations

Jul 13, 2006·Nature Clinical Practice. Urology·Hashim U AhmedP Julian R Shah
May 1, 2007·Scandinavian Journal of Urology and Nephrology·Gundela HolmdahlEwa Sölsnes
Apr 24, 2012·Journal of Pediatric Urology·Magdalena Vu Minh ArnellKate Abrahamsson
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Mar 31, 2010·Urology·Douglass B Clayton, John W Brock
Apr 21, 2007·Urology·Mohamed H KamelDavid P Hickey
Oct 12, 2010·Neurourology and Urodynamics·Emmanuel Chartier-Kastler, Pierre Denys
Apr 27, 2010·Developmental Disabilities Research Reviews·Douglass B ClaytonDavid B Joseph
Sep 13, 2014·Journal of Pediatric Urology·W YangM-H Tseng
Dec 1, 2009·Journal of Pediatric Urology·Gunilla Glad MattssonSven Mattsson
Oct 30, 2015·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Fabiana FaleirosDenise Tate
Oct 25, 2016·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Fabiana FaleirosElisabeth Thomas
Oct 17, 2006·Clinical Pediatrics·Wm Lane M RobsonMichael A Thomason
Oct 17, 2008·American Journal of Physical Medicine & Rehabilitation·Brad E DiciannoJennifer Sotirake
Aug 3, 2012·Expert Review of Neurotherapeutics·An-Sofie O M Goessaert, Karel C M M Everaert
May 15, 2021·Journal of Pediatric Urology·Mostafa M ElghandourMohammed Abdel-Latif
Nov 9, 2006·Advances in Pediatrics·W Lane M Robson, Alexander K C Leung

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