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Evaluation and Long-term Management of Neurogenic Bladder in Spinal Dysraphism
- Source :
- NeoReviews. 20:e711-e724
- Publication Year :
- 2019
- Publisher :
- American Academy of Pediatrics (AAP), 2019.
-
Abstract
- Spinal dysraphism, which includes conditions such as myelomeningocele and sacral agenesis, is one of the most common causes of congenital lower urinary tract dysfunction. Early evaluation of the neurogenic bladder serves to minimize renal damage, and the main goals of management include preserving renal function, achieving acceptable continence, and optimizing quality of life. The survival of patients with such conditions has improved to greater than 80% reaching adulthood, owing to advances in diagnostic and therapeutic modalities. The result is a real, and unfortunately often unmet, need for successful transitional care in this complex patient population. Clinicians must be able to identify the unique challenges encountered by patients with neurogenic bladder as they shift through different stages of their life.
- Subjects :
- Transition to Adult Care
medicine.medical_specialty
Meningomyelocele
Urology
Urinary system
medicine.medical_treatment
Urinary Bladder
Acetylcholine Release Inhibitors
Prenatal diagnosis
Hydronephrosis
Anticholinergic agents
Spina Bifida Occulta
Meningocele
Sacral Agenesis
Cholinergic Antagonists
Ultrasonography, Prenatal
03 medical and health sciences
0302 clinical medicine
Quality of life
030225 pediatrics
Humans
Medicine
Abnormalities, Multiple
Transitional care
030212 general & internal medicine
Botulinum Toxins, Type A
Urinary Bladder, Neurogenic
Watchful Waiting
Intensive care medicine
Spinal Dysraphism
Vesico-Ureteral Reflux
Fetal Therapies
Urinary bladder
Sacrococcygeal Region
business.industry
Urodynamics
medicine.anatomical_structure
Urinary Tract Infections
Pediatrics, Perinatology and Child Health
Urinary Catheterization
business
Watchful waiting
Subjects
Details
- ISSN :
- 15269906
- Volume :
- 20
- Database :
- OpenAIRE
- Journal :
- NeoReviews
- Accession number :
- edsair.doi.dedup.....ce2e5ca31274b936da0b88852d76faae