Neurogenic bladder in children – our experience

Neurogenic lower urinary tract dysfunction is a risk factor for renal deterioration. Urodynamic investigation has allowed us better understanding of the pathophysiology of these disorders and early detection of the risk factors for upper tract damage. Immediately upon suspicion of neurogenic dysfunction a complete diagnostic work up is needed. The main goals of management are to preserve renal function and to provide socially acceptable continence after school age. In this study the urodynamic patterns of 52 children with neurogenic bladder are shown. As many as 26 (50%) of our patients had the most severe form of neurogenic bladder characterized by hyperreflexia of the detrusor and sphyncter and 15 children (28.8%) had hyperreflexia of the sphincter with detrusor hyporeflexia. In these two groups the children often have vesicoureteral reflux (57.7% and 26.7% respectivly) and febrile urinary tract infections (77%, and 53.3% respectively). Even in children with milder forms of urodynamic dysfunctions such as hyporeflexia of the sphincter with hypo or hyperreflexia of the detrusor there is a possibility of a change in the urodynamic pattern durng childhood. Therefore close follow up of all children is needed.
Category: Original scientific paper
Volume: Vol. 47, No 4, october - december 2003
Authors: A. Cvitković Kuzmić, M. Bastić, Z. Bahtijarević, I. Fattorini
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