[Clean intermittent catheterization in the management of spina bifida: a review of 113 cases].
One hundred and thirteen cases of spina bifida treated with clean intermittent catheterization (CIC) were reviewed. There were 42 males and 71 females, ranging from 4 months to 50 years. The major reasons for CIC from other voiding methods were vesicoureteral reflux (VUR) (48/113) old, and residual urine (36/113). The most common type of neurogenic bladder was hypoactive detrusor-active sphincter, in 56.6% of patients (64/113). The grade of paralytic disability of lower limb (Sharrard's classification) was low (group IV-VI) in 84 patients and high (group I-III) in 29 patients. Hydroureteronephrosis and VUR improved 52.1% (37/71) and 57.1% (36/63), urinary tract infection and urinary incontinence improved 70.9% (39/55) and 81.7% (72/87). Major complications were pyelonephritis (12 cases) and urethral pain (5 cases). We discussed the choice of voiding method in the management of spina bifida.
Yamamoto
M
M
Department of Urology, Hoshigaoka Koseinenkin Hospital.
Yasukawa
M
M
Yoshii
M
M
Takahashi
S
S
Natsume
O
O
Momose
H
H
Suemori
T
T
Yamada
K
K
Shiomi
T
T
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology / Q000628:therapy; D007223:Infant; D008297:Male; D008875:Middle Aged; D016135:Spinal Dysraphism / Q000150:complications*; D001750:Urinary Bladder, Neurogenic / Q000209:etiology / Q000628:therapy*; D014546:Urinary Catheterization / Q000379:methods*; D014549:Urinary Incontinence / Q000209:etiology / Q000628:therapy; D014552:Urinary Tract Infections / Q000209:etiology / Q000628:therapy; D014718:Vesico-Ureteral Reflux / Q000209:etiology / Q000628:therapy*