Neurogenic bladder dysfunction and upper urinary tract deterioration in children
- VernacularTitle:小儿神经源性膀胱与上尿路损害
- Author:
Jun TIAN
;
Ning SUN
;
Chengru HUANG
- Publication Type:Journal Article
- Keywords:
Bladder,neurogenic;
Urinary tract diseases;
Urodynamics
- From:
Chinese Journal of Urology
2001;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the risk urodynamic factors of upper urinary tract deterioration in children with neurogenic bladder dysfunction secondary to myelodysplasia. Methods Urodynamic and imaging studies were performed in 32 children with myelodysplasia. Results 18 patients had ureterohydronephrosis and 4 of them had vesicoureteric reflux.Of 19 children with detrusor leak point pressure higher than 40 cmH 2O and bladder compliance less than 40ml/cmH 2O, upper tract deterioration was revealed in 17.In contrast,of 13 patients with detrusor leak point pressure less than 40 cmH 2O and bladder compliance higher than 40 ml/cmH 2O, only one had bilateral ureteral dilatation( P
