Neurogenic bladder: urodynamic and surgical aspects.

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dc.contributor.authorKataria, Ren_US
dc.contributor.authorBajpai, Men_US
dc.contributor.authorLall, Aen_US
dc.contributor.authorGupta, D Ken_US
dc.contributor.authorGrover, V Pen_US
dc.contributor.authorMitra, D Ken_US
dc.date.accessioned1997-11-29en_US
dc.date.accessioned2009-05-30T16:36:42Z
dc.date.available1997-11-29en_US
dc.date.available2009-05-30T16:36:42Z
dc.date.issued1997-11-29en_US
dc.description.abstractChildren with spina bifida often have vesico-urethral dysfunction manifesting either as upper urinary tract deterioration or voiding dysfunction, chiefly incontinence. Surgery of the back and presence of or increase in hydrocephalus may contribute to neuro-urologic worsening; secondary cord tethering and syrinx or hydromyelia may be additional factors coming into play later in life. Urodynamic assessment using simple modalities like uroflowmetry, external sphincter EMG, residual urine volume and cystometry provide data useful to classify patients according to detrusor and sphincter activity. Besides diagnosis, urodynamic studies are useful in guiding therapy of children with vesico-urethral dysfunction, and for their follow-up to detect sub-clinical deterioration. They also help to prognosticate risk of upper tract deterioration and the possible success of measures to contain incontinence. Urodynamic data in thirty one patients with spinal dysraphism who presented to us with urologic symptoms were analysed. Twenty-three children had hyper-reflexic bladders while in the other 8 the bladder was areflexic. 13 children showed upper tract dilatation. The leak point volume was significantly lower in this group of patients compared to those who did not show upper tract dilatation. Our results are comparable to earlier similar studies.en_US
dc.description.affiliationDepartment of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi.en_US
dc.identifier.citationKataria R, Bajpai M, Lall A, Gupta DK, Grover VP, Mitra DK. Neurogenic bladder: urodynamic and surgical aspects. Indian Journal of Pediatrics. 1997 Nov-Dec; 64(6 Suppl): 68-76en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/84731
dc.language.isoengen_US
dc.source.urihttps://medind.nic.in/icb/icbai.shtmlen_US
dc.subject.meshAdolescenten_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshElectromyographyen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshInfanten_US
dc.subject.meshMaleen_US
dc.subject.meshSpinal Dysraphism --complicationsen_US
dc.subject.meshTreatment Outcomeen_US
dc.subject.meshUrinary Bladder, Neurogenic --diagnosisen_US
dc.subject.meshUrinary Incontinence --diagnosisen_US
dc.subject.meshUrodynamicsen_US
dc.titleNeurogenic bladder: urodynamic and surgical aspects.en_US
dc.typeJournal Articleen_US
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