PMID: 8965337Dec 1, 1996Paper

Decreased bladder compliance in patients with myelomeningocele treated with radiological observation

The Journal of Urology
A M KaufmanEdward J McGuire

Abstract

Recently others advocated frequent radiological surveillance to detect upper urinary tract deterioration in children with neurogenic bladder secondary to spina bifida. We reviewed the consequences of such expectant management on bladder compliance and urinary continence. We retrospectively reviewed the records of 214 children presenting to our spina bifida clinic in a 13-year period. Follow-up is available for 95 girls and 86 boys. Imaging studies of the kidneys were repeated at 6 to 12-month intervals. Urodynamics were performed when upper urinary tracts deteriorated or in incontinent school age children. On radiographic study there was evidence of upper urinary tract deterioration in 79 children, including hydronephrosis in 34, hydronephrosis and vesicoureteral reflux in 19, and reflux only in 26. Follow up studies performed after clean intermittent catheterization and pharmacological therapy were instituted revealed resolution or improvement of upper tract deterioration in 52 patients (69%), while bladder compliance improved in only 42%. Surgical intervention was required in 34 children, despite improvement of upper tract changes in many of these patients on follow up radiographic studies. Although radiological surveillance ...Continue Reading

Citations

Apr 28, 2005·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Raimund SteinJoachim W Thüroff
May 3, 2005·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Raimund SteinJoachim W Thüroff
Dec 15, 2015·Der Urologe. Ausg. A·R SteinM S Michel
Jan 24, 2012·Journal of Pediatric Urology·Raimund SteinJoachim W Thüroff
Oct 20, 2010·The Urologic Clinics of North America·Edward J McGuire
Oct 20, 2010·The Urologic Clinics of North America·Arthur Mourtzinos, John T Stoffel
Jun 11, 2011·Neurourology and Urodynamics·J J WyndaeleH Madersbacher
Aug 2, 2014·Therapeutic Advances in Urology·Luis GuerraMarco Castagnetti
Jul 16, 2014·Annals of Rehabilitation Medicine·Je Sang LeeHyun-Yoon Ko
Feb 24, 2009·The Journal of Urology·Bettina JorgensenTroels Munch Jorgensen

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