Intermittent catheterization in the management of neurogenic vesical dysfunction in children.

Our over-all results with intermittent clean catheterization in attaining continence and limiting the occurrence of significant infection while preserving renal function in children with neurologic bladder dysfunction have been gratifying and compare favorably to other series. The program has not only resulted in satisfactory continence in the majority but also it has been associated with marked improvements in personality, sociability and self-image in several of our older patients who are free from the odor, shame and discomfort of the incontinence for the first time in their lives. From our results and those of others it appears that intermittent clean catheterization is a safe, reversible and effective means of management of children with neurogenic bladders.