Abstract
Clean IC was introduced 20 ys ago to empty the bladder without residual volume. The mayor drawbacks of IC are that it is a passive act performed after failure to empty the bladder and to eliminate voiding. It introduces a contaminated foreign body into the bladder and has negative psychological effects. The rationale of this Urethral Device (SAVUD) is based in the mechanical opening of the external sphincter and the continent portion of the urethra with an adequate caliber allowing the urine to flow against atmospheric pressure. 5 patients with voiding alterations are described before (B) and after (A) the use of SAVUD.
Patients are reasured because they void normally like healthy people. SAVUD as IC is used “clean”. SAVUD should be used after 10 ys, of age. As emptying is facilitated bladder/reservoir hypertrophy improves.
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Bottini, E. A NEW CONCEPT: SELF ASSISTED VOIDING (SAV), AN ALTERNATIVE TO INTERMITENT CATHETERIZATION (IC) IN GIRLS. PRELIMINARY STUDY. Pediatr Res 32, 741 (1992). https://doi.org/10.1203/00006450-199212000-00047
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DOI: https://doi.org/10.1203/00006450-199212000-00047
