Status:

UNKNOWN

EVALUATION OF THE SAFETY AND EFFICACY OF ADJUSTABLE CONTINENT THERAPY IN CHILDREN WITH SPINAL DYSRAPHISM.

Lead Sponsor:

Assistance Publique Hopitaux De Marseille

Conditions:

Neurogenic Bladder Due to Spinal Dysraphism

Eligibility:

All Genders

5-18 years

Phase:

NA

Brief Summary

Urinary continence is still a difficult goal to achieve in neurogenic bladder patients. Conservative treatment of neurogenic urinary incontinence using clean intermittent catheterization in conjunctio...

Eligibility Criteria

Inclusion

  • Boys and girls \> 5 years with spinal dysraphism (occult or open)
  • Neurogenic sphincteric incontinence (leak point pressure \< 45 cm d'H20, open bladder neck during filling, urinary incontinence)
  • Normal renal function (eGFR \> 90ml/min)
  • No (or stable) upper urinary tract dilatation in ultrasound
  • In case no compliante bladder ( bladder capacity \< 50% for the age) a concomitant injection of botox endoscopically will be performed

Exclusion

  • under 5 years with an acquired neurogenic bladder
  • renal insufficiency (acute or chronic)
  • evolutive deterioration of the upper urinary tract (hydronephrosis)
  • active systemic or urinary tract infections
  • unmanageable detrusor instability
  • reduced bladder compliance
  • residual volume greater than 100 ml after voiding
  • bleeding disorders
  • urethral stenosis
  • who refused CIC
  • patent sacral bedsore

Key Trial Info

Start Date :

December 30 2017

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 30 2024

Estimated Enrollment :

10 Patients enrolled

Trial Details

Trial ID

NCT03351634

Start Date

December 30 2017

End Date

October 30 2024

Last Update

November 24 2017

Active Locations (1)

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1

Assistance Publique Hopitaux de Marseille

Marseille, France, 13354