From 1986 to 1993, we analyzed experiences in clean intermittent catheterization (CIC) of 62 patients with neurogenic bladder who were closely follow up for averaging 25 months. Initial urodynamic study revealed hyperreflexic bladder in 21
patients: 11
with detrusor sphincter dyssynergia. Areflexic bladder was found in 41patients: 15 with low complicance. Although positive urine culture were relatively frequent (61%), febrile urinary tract infections were rare(3%) and upper urinary tract
function
was
stable. Other complications of CIC(29%) were burning sensation, resist on urethral catheter, epididymitis, scrotal abscess, bladder stone, etc.
Although minor complications are not rare, we can conclude that preservation of renal funtion and improvement of urinary incontinence can achieved with intermittent catheterization and that patients must be well motivated and cooperative and be
able to
use their hands for continuation of CIC.
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