Self-retaining catheters for congenital neuropathic bladder: a continuing evaluation.
Sixty (60) spina bifida children have had their neuropathic bladder managed with a continuous Foley catheter regime for periods up to 14 years. Technetium renogram and renal scan assessments prior to commencement of catheter and again recently have shown no overall significant deterioration in 66 kidneys. There is however significantly less (p less than 0.001) intermittent emptying and significantly more (p less than 0.01) renal scarring in those patients who have had a continuous catheter regime for more than 4 years. Remedial complications were reported in 28% patients and these were predominantly males.
D000293:Adolescent; D002408:Catheters, Indwelling; D002648:Child; D002675:Child, Preschool; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007223:Infant; D007668:Kidney / Q000000981:diagnostic imaging; D008297:Male; D011877:Radionuclide Imaging; D013667:Technetium; D001750:Urinary Bladder, Neurogenic / Q000150:complications*; D014546:Urinary Catheterization / Q000295:instrumentation*; D014549:Urinary Incontinence / Q000209:etiology / Q000534:rehabilitation*
D013667:Technetium