Vesicoureteral Reflux in Children with Neuropathic Bladder.
- Author:
Ky Hyun CHUNG
1
;
Keon Seok KIM
;
Hyeon Hoe KIM
;
Kwang Myung KIM
;
Sang Eun LEE
;
Hwang CHOI
Author Information
1. Department of Urology, College of Medicine, Seoul National University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
neuropathic bladder;
vesicoureteral reflux
- MeSH:
Catheterization;
Catheters;
Child*;
Drug Therapy;
Follow-Up Studies;
Humans;
Replantation;
Ureter;
Urinary Bladder;
Urinary Bladder, Neurogenic*;
Urinary Catheterization;
Vesico-Ureteral Reflux*
- From:Korean Journal of Urology
1989;30(4):536-540
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
During the lest 7 years 21 children with vesicoureteral reflux and neurogenic bladder dysfunction and 46 children with primary vesicoureteral reflux were followed. At the time of initial presentation, the mean age of the former group was 5.5 years and the letter group, 2.8 years. The grade of reflux and the nephropathy were more severe in the children with neuropathic bladder than in the children with primary vesicoureteral reflux But in the same reflux grade, there was no statistical difference in the nephropathy between the two groups. The children with vesicoureteral reflux and neuropathic bladder were managed with drug therapy, intermittent catheterization, urinary diversion and ureteral reimplantation. Radiological followup revealed that resolution or improvement of reflux occurred in 36 per cent of renal units managed by intermittent catheterization and 100 per cent in which the ureters were reimplanted. As in the non-neurogenic bladder successful management of reflux and prevention of upper tract deterioration can be achieved by conservative management as well as by ureteroneocystostomy.
