Feasibility and outcome of clean intermittent catheterization for children with sensate urethra
Bibliographic record
Abstract
Objective: Clean intermittent catheterization (CIC) is an importantasset in managing children with noncompliant bladders. We reviewthe feasibility and late outcomes of patients with normal urethralsensation who began CIC.Materials and methods: We reviewed all patients with posteriorurethral valve (PUV) or non-neuropathic bladder sphincter dysfunction(NNBSD) who began on CIC, and had at least 2 years offollow-up. We considered their age, indication, acceptance andcompliance with CIC. Additionally, we examined the late outcomeof bladder function and the need for any surgical intervention atfollow-up.Results: Between 1999 and 2006, 52 patients with PUV (38patients) or NNBSD (14 patients) were started on CIC. Of these 52patients, 48% were under the age of 4. A total of 44 patients (85%)accepted the recommendation for CIC, and 34 patients (65%) werecompliant with the protocol after at least 2 years of follow-up. Theage of the patients was the only significant factor related to thesuccess of the protocol (4 years old or younger, p = 0.03). Afterat least 2 years of follow-up, 28 patients (54%) remained on CICand have not required urinary diversion or bladder reconstruction.Conclusion: The current study showed that CIC is a feasible optionfor patients with sensate urethra, which necessitates the introductionof treatment as early as possible. Further, those patients whoare compliant with the CIC demonstrated a better chance of avoidingsubsequent surgical intervention for the management of a noncompliantbladder.Objectif : Le cathétérisme intermittent propre (CIP) est un élémentimportant de la prise en charge de l’insuffisance vésicale chez lesenfants. Nous passons ici en revue la faisabilité et les résultats tardifschez des patients affichant des sensations urétrales normalesqui ont entrepris un traitement par CIP.Matériel et méthodologie : Nous avons examiné tous les patientsatteints d’une dysfonction de la valve urétrale postérieure (DVUP)ou d’une dysfonction non névrotique du sphincter vésical (DNNSV)ayant entrepris un traitement par CIP, et suivis pendant au moins2 ans. Nous avons tenu compte de leur âge, de l’indication dutraitement, de leur acceptation et leur observance du traitementpar CIP. En outre, nous avons examiné les résultats tardifs de lafonction vésicale et le besoin de recourir à tout type d’interventionchirurgicale lors du suivi.Résultats : Entre 1999 et 2006, 52 patients atteints de DVUP(38 patients) ou de DNNSV (14 patients) ont entrepris un traitementpar CIP. De ce nombre, 48 % avaient moins de 4 ans. Au total,44 patients (85 %) ont accepté la recommandation de procéderau CIP, et 34 patients (65 %) observaient toujours le traitementaprès au moins 2 ans de suivi. L’âge des patients représentaitle seul facteur significatif lié à la réussite du traitement (4 ansou moins, p = 0,03). Après au moins 2 ans de suivi, 28 patients(54 %) poursuivaient leur traitement par CIP et n’avaient pas besoind’un détournement urinaire ou d’une reconstruction de la vessie.Conclusion : Notre étude a montré que le CIP est une optionraisonnable pour les patients avec urètre sensible, qui nécessitel’instauration d’un traitement le plus rapidement possible. Par ailleurs,les patients qui observent bien le traitement par CIP présentaientde meilleures chances d’éviter une intervention chirurgicalesubséquente pour le traitement d’une insuffisance vésicale.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".