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Evaluation of the urinary tract in children with myelomeningocele
T. Petersen,
P.B. Jensen,
Corresponding Author
T. Petersen
Departments of Neurology, Aarhus Kommunehospital, Denmark
Department of Neurology, Aarhus Kommunehospital DK-8000 Aarhus C DenmarkSearch for more papers by this authorP.B. Jensen
Departments of Psychology, Aarhus Kommunehospital, Denmark
Search for more papers by this authorT. Petersen,
P.B. Jensen,
Corresponding Author
T. Petersen
Departments of Neurology, Aarhus Kommunehospital, Denmark
Department of Neurology, Aarhus Kommunehospital DK-8000 Aarhus C DenmarkSearch for more papers by this authorP.B. Jensen
Departments of Psychology, Aarhus Kommunehospital, Denmark
Search for more papers by this authorAbstract
ABSTRACT— Of 43 children suffering from myelomeningocele, 2 died of obstructive nephropathy; 30 survived for more than 6 years and 12 of these developed upper urinary tract dilatation. A bladder compliance above 20 was only found in 4 patients, while in 11 with detrusor hyperreflexia, a low pressure amplitude was generally observed. Detrusor-sphincter dyssynergia accompanied by large residual volumes was found in 4 patients. Surveillance of the urological condition is discussed.
References
- 1 McLaughlin JF, Shurtleff DB, Lamers JY et al. Influence of Prognosis on decisions regarding the care of newborns with myelodysplasia. N Eng J Med 1985: 312: 1589 – 1594.
- 2 Lorber J., Salfiled SAW. Results of selective treatment of spina bifida cystica. Arch Dis Child 1981: 56: 822 – 830.
- 3 Majd M., Belman AB. Nuclear Cystography in Infants and Children. Urol Clin North Am 1979: 6: 395 – 407.
- 4 International Continence Society committee on standardizasion of terminology of lower urinary tract function, fourth report: Neuromuscular dysfunction. Urology 1981: 17: 618 – 620.
- 5 Petersen T., Pedersen E. Neurourodynamic evaluation of voiding dysfunction in multiple sclerosis. Acta Neurol Scand 1984: 69: 402 – 411.
- 6 Nielsen H N. A Longitudinal study of the psychological aspects of myelomeningocele. Scand J Psychol 1980: 21: 45 – 54.
- 7 Naglo AS, Nergårdh A. Diagnosis of detrusor hyperactivity in children with neurogenic bladder. Scand J Urol Neoprol 1981: 15: 91 – 96.
- 8 Naglo AS, Hellstrøm B. Results of treatment in myelomeningocele. Acta Pædiatr Scand 1976: 65: 565 – 569.
- 9 Comarr AE. Conservative management of the urinary bladder in myelodysplasia. Paraplegia 1972: 10: 237 – 241.
- 10
Stark GD.
Correlative studies of bladder function in myelomeningocele.
Develop Med Child Neurol
1973: 15: Supp 29: 55
–
68.
10.1111/j.1469-8749.1973.tb04942.x Google Scholar
- 11 Bauer SB, Hallett M., Khoshbin S. et al. Predictive value of urodynamic evaluation in newborns with myelodysplasia. JAMA: 1984: 252: 650 – 652.
- 12 McGuire EJ, Woodside JR, Borden TA, Weiss RM. Prognostic value of urodynamic testing in myelodysplastic patients. J Urol 1981: 126: 205 – 209.
- 13 Blaivas JG, Labib KL, Bauer SB, Retik AB. Changing concepts in the urodynamic evaluation of children. J Urol 1977: 117: 778 – 781.
- 14 Bauer SB, Labib KB, Dieppa RA, Retik AB. Urodynamic evaluation of boy with myelodysplasia and incontinence. Urology 1977: 10: 354 – 362.
- 15
Ghoniem GM,
Regnier CH,
Biancani P.,
Johnson L.,
Susset JG.
Effect of bilateral sacral decentralization on detrusor contractility and passive properties in dog.
Neurourol Urodyn
1984: 3: 23
–
33.
10.1002/nau.1930030104 Google Scholar
- 16 Sundin T., Dahlstøm A., Norlen L., Svedmyr N. The sympathetic innervation and adrenoreceptor function of the human lower urinary tract in the normal state and after parasympathetic denervation. Invest Urol 1977: 14: 322 – 328.
- 17 Sidi AA, Dykstra DD, Gonzalez R. The value of urodynamic testing in the management of neonates with myelodysplasia: a prospective study. J Urol 1986: 135: 90 – 93.
- 18 Perez-Marrero R., Dimmock W., Churchill BM, Hardy BE. Clean intermittent catheterization in myelomeningocele children less than 3 years old. J Urol 1982: 128: 779 – 781.
- 19 Crooks KK, Enrile BG. Comparison of the ileal conduit and clean intermittent catheterization for myelomeningocele. Pediatrics 1983: 72: 203 – 206.
- 20 Bauer SB, Colodny AH, Retik AB. The management of vesicoureteral reflux in children with myelodysplasia. J Urol 1982: 128: 102 – 105.
