Pediatric Neuropathic Bladder: A Clinical Study.
- Author:
Hyun Moo LEE
1
;
Hwang CHOI
Author Information
1. Department of Urology, College of Medicine, Seoul National University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
neurogenic bladder;
childhood
- MeSH:
Azotemia;
Catheterization;
Catheters;
Child;
Classification;
Dilatation;
Drug Therapy;
Follow-Up Studies;
Humans;
Incidence;
Urinary Bladder, Neurogenic*;
Urinary Diversion;
Urinary Tract Infections;
Vesico-Ureteral Reflux
- From:Korean Journal of Urology
1986;27(2):267-272
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
During a 6 year period from 1979 to 1984, we examined 35 children with neuropathic bladder At the time of their initial presentation, incontinence was the most frequent symptom (66%) and urinary tract infection was present in 63% azotemia 7% upper tract dilatation 50% vesicoureteral reflux 55% Functional classification based on urodynamical assessment and clinical findings showed 21 patients (60%) with emptying failure and 14 patients (40%) with storage failure. The incidence of upper tract dilatation and urinary tract infection was significantly higher in patients With emptying failure than those with storage failure. These patients were managed with drug therapy, intermittent catheterization and urinary diversion and their follow-up observations are discussed.
