bladder sphincter disorder Neurogenic bladder
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: * Children 0-18 years * Already treated at our centre with CIC and anticholinergics or new patients at our centre who need CIC and anticholinergic treatment
Exclusion criteria
Exclusion criteria: * Non-neurogenic BSD (e.g. urethral valves) * Neurogenic bladder after bladder augmentation * Inability of patient/ caregivers to understand the instructions on how to perform CIC * Inability of patient/ caregivers to understand the instructions on the home bladder pressure measurements * Inability of patient/caregivers to understand the instructions on application of the anticholinergics intravesical * Inability of patient/ caregivers to understand the instructions on the use of the website.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction in unscheduled hospital visits (due to bladder and kidney problems). | — |
Secondary
| Measure | Time frame |
|---|---|
| - Preservation of bladder and renal function and quelity of life. - Patient compliance to medication and CIC. - Incidence and severity of bladder dysfunction related symptoms (incontinence and overactivity related discomfort). - Time of detection and frequency of tethered cord or other new neurological damage. - Time of detection and frequency of urinary tract infection (UTI). - Anticholinergic application form. - Actual dose of medication, determined from the answers on the questionnaires and answers on the specific question on use of medication in the webtool. - Actual CIC frequency. - Patient satisfaction with treatment. - Workload treatment team. - Visits to website (indicator for motivation). | — |
Countries
Netherlands