[Intermittent catheterization as the basis for treatment of XXXX during childhood].

@entity1 @entity322 @entity1494 @entity158 @entity2335
OBJECTIVE: @entity1494 ( @entity1494 ) frequently causes @entity1494 , which can lead to deterioration of the upper urinary tract (UUT), vesico-renal reflux (VRR) and @entity322 . The aim of this study is to determine the degree of acceptance, performance and results of treatment of @entity1494 in @entity1 by intermittent catheterization (IC). METHODS: Of 121 @entity1 (50 @entity1 and 38 @entity1 ) with @entity1494 , 88 were managed by intermittent catheterization. The mean age at treatment was 5.2 years (range 20 days-13 years). PVC catheters were employed and reutilized for 3 or 4 weeks. Catheters were aseptic but not sterile. Antimicrobial prophylactic therapy was not administered except in @entity1 with VRR. The statistical study was descriptive and results were compared using the Pearson chi square test. RESULTS: 90% had 4 or more catheterizations daily. Family and @entity1 cooperation was good in 90% of the cases. @entity1 were managed by IC for a mean period of 4 years (range 1 month-14 years). Only two cases (2%) showed mild, transient complications ( @entity158 and @entity2335 ). Normal UUT remained normal in 85%; 45% with compromised UUT improved and 7% became worse. Of the @entity1 with no VRR, 94% did not develop this complication; VRR resolved in 72% of the cases (24% by IC alone and 48% with drugs or surgery). Only 12% were continent for more than 3 hours, which increased to 77% (64% by IC alone and 86% with drug therapy or surgery). Urethral sphincter urodynamics was the most important prognostic factor: @entity1 with a lower urethral resistance showed better results for the UUT (p = 0.00373) and VRR (p = 0.00943). The results were also better in @entity1 with normal UUT (p = 0.0003) and no VRR (p = 0.009). CONCLUSIONS: IC is not limited by @entity1 age, sex or sociocultural level. It preserves normal TUS and prevents VRR when instituted early, on demonstrating residual urine and high urethral resistance. IC alone or in combination with other treatments is the basic therapy in @entity1494 .
