Intermittent Catheterisation in the Management of Children With Neuropathic Bladder

Withycombe, J. F. R.; Whitaker, Robert H.; Hunt, Gillian

doi:10.1016/s0140-6736(78)92542-4

Cited by 25 publications

(17 citation statements)

References 3 publications

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“…Even with the combination of sphincter inactivity and detrusor inactivity, CIC remains the method of choice [6,9,19,22,26,34,37,57]. It always reduces the degree of incontinence, and oers much better control over UTI [53].…”

Section: Clean Intermittent Catheterisationmentioning

confidence: 99%

Bladder-sphincter dysfunction in myelomeningocele

Gool

Dik²,

Jong³

2001

European Journal of Pediatrics

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Pediatric urodynamics taught us that detrusor-sphincter dyssynergia creates a bladder outlet obstruction in about 50% of any population of children with myelomeningocele. This functional obstruction causes renal damage due to obstructive uropathy, exactly the same way as a congenital anatomical urethral obstruction does. Pediatric urodynamics also taught us that in children with myelomeningocele pelvic floor activity and detrusor activity can be abnormal (hyperactive or inactive) completely independent from each other. These insights have changed the management of myelomeningocele. Children with overactivity of the pelvic floor can be singled out at infant age, and started on clean intermittent catherization, to prevent obstructive uropathy and preserve renal function. Children with detrusor overactivity can be singled out too at very early age, and treated with anticholinergics, to prevent irreversible structural damage to the detrusor and preserve normal bladder capacity and compliance.

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Section: Clean Intermittent Catheterisationmentioning

confidence: 99%

Bladder-sphincter dysfunction in myelomeningocele

Gool

Dik²,

Jong³

2001

European Journal of Pediatrics

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“…In children urodynamic assessment should include a cystogram to detect vesicoureteric reflux. Outside this group of highly vulnerable patients detailed investigation is not always needed 3 8 30. Patients are sometimes denied a trial of intermittent catheterisation purely because of an adverse urodynamic study.…”

Section: Procedures Assessmentmentioning

confidence: 99%

“…Skin damage and sacral pressure sores heal. Children become more independent and able to mix socially 3 21. The morale and wellbeing of both children and their parents may improve appreciably 22…”

Section: Follow Upmentioning

confidence: 99%

“…This technique has transformed the lives of people rendered housebound by bladder problems and has preserved the kidneys of children with spina bifida3 4 5 6 7 8 9 10 and of adults with spinal cord injury 11 12 13 14 15. Intermittent catheterisation is a clean but not sterile technique.…”

mentioning

confidence: 99%

“…Urinary stasis leads to urinary tract infections and calculi. By eliminating residual urine, intermittent catheterisation enables the bladder to function more effectively as a reservoir, relieves symptoms, and reduces the incidence of symptomatic urinary infections 3 9 16 22 25 28…”

mentioning

confidence: 99%

See 2 more Smart Citations

Fortnightly Review: Intermittent catheterisation: simple, safe, and effective but underused

Hunt

Oakeshott

Whitaker

1996

BMJ

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Intermittent Catheterization: Sterile or Clean?

Moore¹

1991

Rehabilitation Nursing

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Bacteriuria--asymptomatic and symptomatic--always has the potential to develop into a serious problem when intermittent catheterization is being used. Research on the best method of reducing bacteriuria is inconclusive. Studies have focused on the use of sterile technique, oral or vesical antibiotics, and the frequency of catheterization. This article presents a summary of current research on bacteriuria in the patient requiring intermittent catheterization.

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Intermittent Catheterisation in the Management of Children With Neuropathic Bladder

Cited by 25 publications

References 3 publications

Bladder-sphincter dysfunction in myelomeningocele

Bladder-sphincter dysfunction in myelomeningocele

Fortnightly Review: Intermittent catheterisation: simple, safe, and effective but underused

Intermittent Catheterization: Sterile or Clean?

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