Effects of clean intermittent catheterization coupled with catheterization during sleep on upper urinary tract in children with neurogenic bladder

Abstract

Objective To investigate the effects of clean intermittent catheterization (CIC) coupled with indwelling urinary catheterization during sleep on the upper urinary tract in children with neurogenic bladder.Methods Fifty-three children with neurogenic bladder diagnosed by urodynamic were divided into experimental group (26 cases) and control group (27 cases) randomly.The control group was treated with CIC,whereas CIC coupled with indwelling urinary catheterization during night were set as experimental group.After 2 years follow up,X-ray urography or videourodynamic examination were performed in them and the relative parameters were summarized and analyzed between two groups.Results The safety bladder capacity (SBC) and bladder compliance (BC) of all children increased while the DLPP decreased after 2 years of treatment,and all these parameters in experimental group had a better improvement than those in control group.The alleviative rate of hydronephrosis in experimental group was higher than that of control group (P＜0.05),while the incidence of bacterial urine and urinary infection between two groups had no statistical significance (P＞0.05).Conclmions CIC coupled with indwelling urinary catheterization during sleep plays a better protective role than CIC alone for children with neurogenic bladder. Key words: Urinary bladder,neurogenic; Urinary catheterization