Wyndaele J J, Maes D
Department of Urology, State University of Ghent, Belgium.
J Urol. 1990 May;143(5):906-8. doi: 10.1016/s0022-5347(17)40132-7.
We studied retrospectively 75 patients who performed clean intermittent self-catheterization for a mean of 7 years (maximum 12 years). Most of the patients had neuropathic bladder dysfunction and 92% were continent. Chronic or recurrent urinary tract infections were present in 42% of the patients. Although the upper urinary tract was well preserved in the majority of the patients regular screening for silent hydronephrosis and/or asymptomatic reflux proved to be necessary. Complications occurred in 15 patients, with a urethral pathological condition being the most frequent complication in our male patients during followup.
我们回顾性研究了75例患者，这些患者进行清洁间歇性自我导尿的平均时间为7年（最长12年）。大多数患者患有神经源性膀胱功能障碍，92%的患者能自主控制排尿。42%的患者存在慢性或复发性尿路感染。尽管大多数患者的上尿路保存良好，但事实证明定期筛查无症状肾积水和/或无症状反流是必要的。15例患者出现并发症，在随访期间，尿道病理状况是男性患者中最常见的并发症。
