Clean intermittent catheterization in the management of spina bifida: a review of 113 cases
Yamamoto, M.; Yasukawa, M.; Yoshii, M.; Takahashi, S.; Natsume, O.; Momose, H.; Suemori, T.; Yamada, K.; Shiomi, T.
Hinyokika Kiyo. Acta Urologica Japonica 37(2): 117-121
1991
ISSN/ISBN: 0018-1994 PMID: 2048490 Document Number: 372515
One hundred and thirteen cases of spina bifida treated with clean intermittent catheterization (CIC) were reviewed. Threre were 42 males and 71 females, ranging from 4 months to 50 years old. The major reasons for CIC from other voiding methods were vesicoureteral reflux (VUR) (48/113) and residual urine (36/113). The most common type of neurogenic bladder was hypoactive detrusoractive sphincter, in 56.6% of patients (64/112). The grade of paralytic disability of lower limb (Sharrard's classification) was low (group IV.apprx.VI) in 85 patients and high (group I.apprx.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.