Clean, intermittent self-catheterization in the treatment of urinary tract disease

Lapides, Jack; Diokno, Ananias C.; Silber, Sherman J.; Lowe, Bette S.

doi:10.1016/s0022-5347(02)80359-7

Cited by 88 publications

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“…Affected individuals usually require significant medical attention and experience long-term disabilities that affect their survival, functional abilities, and economic productivity. The development of intermittent bladder self-catheterization 13 has been recognized as providing major improvement in quality of life for those with spina bifida 1 but latex allergy rates are among the highest in this population and recurrent urinary tract infection can ultimately lead to renal failure.…”

Section: Incidence Of Ntdsmentioning

confidence: 99%

Folates for reduction of risk of neural tube defects: using oral contraceptives as a source of folate

Nelson¹

2011

OAJC

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The evidence that folates reduce the risk of neural tube defects (NTDs) is so compelling that supplementation has been recommended by every relevant authority. The Cochrane Database of Systematic Reviews has determined that folate supplementation should be rated as a Grade 1 recommendation. United States Preventive Health Services Task Force, the US Food and Drug Administration (FDA), and the Centers for Disease Control and Prevention (CDC) have all produced clear guidelines for such supplementation. Unfortunately, despite food fortification and targeted public health campaigns promoting folic acid supplementation, periconceptional utilization of folic acid supplements has decreased in the US in recent years. Worldwide, over 300,000 newborns are affected with NTDs every year. NTDs account for 10% of all neonatal mortality. This article will review the risk factors for NTDs and the evidence supporting folate supplementation. It will also describe the remaining problems and outline current ideas to solve them. Finally, new evidence of the effectiveness of adding metafolin to drospirenone-containing oral contraceptives in raising serum and red blood cell folate levels, the rationale for making such an addition, and an estimate of the magnitude of the contribution use of such pills might have on reducing NTDs will be discussed.

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Section: Incidence Of Ntdsmentioning

confidence: 99%

Folates for reduction of risk of neural tube defects: using oral contraceptives as a source of folate

Nelson¹

2011

OAJC

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“…CIC is successful in controlling the spread of infections because CIC mimics the regular filling and emptying of the bladder. This prevents distension and ischaemia of the detrusor and thus maintains adequate circulation in a vascular muscle, which allows the natural defense mechanisms to be effective against infections [2,16]. During the learning period many patients experience small amounts of urethral bleeding due to trauma.…”

Section: Ceylon Medical Journalmentioning

confidence: 99%

“…Many centuries ago gentlemen retained a silver tube in their top hats to enable them to catheterise themselves, circumventing their urethral strictures and enlarged prostate glands [1]. History had come a complete circle when Lapides in the early 1970s showed that clean intermittent catheterisation (CIC) was a safe and effective way of managing urinary retention or incontinence due to neuropathic or hypotonic bladder [2]. CIC entails inserting a catheter into the bladder, emptying out all the urine and then removing it.…”

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confidence: 99%

Clean intermittent catheterisation

Abeygunasekera

2010

Ceylon Med. J.

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“…The management of neurogenic miccional dysfunction and urinary incontinence has been revolutionized by the introduction of clear intermittent catheterization (CIC) by Lapides in 1972 (1) , and later, by the description of the "trans-appendicular continent cystostomy" by Mitrofanoff in 1980 (2) . Mitrofanoff launched a new concept whereby the bladder could be emptied by a route other than the urethra.…”

Section: Introductionmentioning

confidence: 99%

Continent Urinary Diversion with Short Appendices in Obese Patients: the Initial Results of a Surgical Option

Cassini¹

2013

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Introduction: Many patients need to be submitted to a continent urinary derivation surgery. Lost of bladder compliance secundary to neurogenic bladder injuries, severe and untractable urethral stenos is are some of the main indications. We present here the initial results and outcomes of twelve procedures performed using the association between Mitrofanoff's principle and Monti's technique as a surgical option for a continenturinarydiversion in patients with short appendices or obese. Materials and Methods: We analyzed data from twelve patients who were submitted to ileocistoplasty and urinary continent derivation by association between Mitrofanoff's principle and Monti's technique performed from january2009 to december 2012 in our institution. In all patients the appendices were too short to reach the skin, some of them, because the obesity. Results: Twelve patients were submitted to the Mitrofanoff and Monti techniques association. The most common surgical complications were stoma skin stenosis (02 cases) and urinary leakage through the reopened bladder neck in 02 patients. Urinary infection (01 sepse) was the main clinical complication. Eleven patients are totally adapted to intermittent clear catheterization through the naveland satisfyed with urinary continence and quality of life.There were no deaths and no urinary or intestinal fistulas secondary to the procedure. Conclusions: The association between Mitrofanoff's principle and Monti's technique is safe, feasible and a very useful alternative in urologic cases, (i.e., severe and untractable urethral stenos is and low compliance neurogenic bladder, for example) of continent urinary diversion, when the ileocecal appendix is too short to reach the skin (i.e., obese patients).

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Clean, intermittent self-catheterization in the treatment of urinary tract disease

Cited by 88 publications

References 0 publications

Folates for reduction of risk of neural tube defects: using oral contraceptives as a source of folate

Folates for reduction of risk of neural tube defects: using oral contraceptives as a source of folate

Clean intermittent catheterisation

Continent Urinary Diversion with Short Appendices in Obese Patients: the Initial Results of a Surgical Option

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