Evaluation of clinico-urodynamic outcome of bladder dysfunction after surgery in children with spinal dysraphism - a prospective study

Acta neurochirurgica
Raj KumarAshok Kumar Mahapatra

Abstract

The aim was to asses the clinical profile and urodynamic findings and the outcome of surgery in children with spinal dysraphism. Twenty five children with spinal dysraphism who were treated at our institute between January 2005 and June 2006 were studied prospectively. There were 10 with an open spina bifida and 15 closed. The clinical profile of bladder dysfunction was assessed and urodynamic evaluation done pre-operatively in each child. An ultrasound study of the kidneys was also done to assess for hydro-uretero-nephrois. All underwent surgery for their primary and associated malformations. Post-operatively, re-evaluation of bladder dysfunction and urodynamic parameters was performed at 6-8 months. Before operation there was a history indicating that the bladder was involved in 14 of the 25 children. Six of the 10 cases with an open spina bifida showed clinical involvement of the bladder as compared to 8 of 15 with a closed pattern. Urodynamic studies showed evidence of bladder dysfunction in 19 children. Of 10 with a meningomyelocele, there were abnormal urodynamics in 9 as compared to 10 of 15 with closed dysraphism. Follow up urodynamic studies showed improvement in 9 of 20 children 3 of 7 with a meningomyelocele and 6 of...Continue Reading

References

Mar 1, 1992·The Journal of Urology·G ChechileJ E Montie
Aug 1, 1992·The Journal of Urology·A AtalaR M Scott
Aug 1, 1992·The Journal of Urology·S B BauerA B Retik
May 1, 1990·The Journal of Urology·L S FosterM S Edwards
Jul 1, 1989·Spine·Y Fujita, H Yamamoto
Jan 1, 1989·Urology·R C FlaniganJ W Walsh
Nov 1, 1988·The Journal of Urology·W E KaplanI Richards
Nov 1, 1988·The Journal of Urology·G A McLorieB M Churchill
Aug 1, 1986·The Journal of Urology·R M ChiaramonteW A Brock
Feb 1, 1986·The Journal of Urology·A KondoT Sakakibara
Feb 1, 1986·The Journal of Urology·W J HellstromB A Kogan
Aug 3, 1984·JAMA : the Journal of the American Medical Association·S B BauerA B Retik
Jul 1, 1982·Journal of Neurosurgery·D Pang, J E Wilberger
Jun 1, 1993·The Journal of Urology·A J GrossH Huland
May 8, 2000·Indian Journal of Pediatrics·A JindalR Kamal
Mar 22, 2002·The Journal of Urology·Edward J McGuireRobert M Weiss
Feb 26, 2003·Pediatric Neurosurgery·Raj Kumar, S N Singh
Dec 28, 2006·Pediatric Neurosurgery·Raj Kumar, Namit Singhal

❮ Previous
Next ❯

Citations

Mar 13, 2016·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Murat Geyikİbrahim Erkutlu
Sep 24, 2015·Current Urology Reports·Jeffrey T WhiteIzabela Tarasiewicz

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.