Follow-up in Children with Neurogenic Bladder Dysfunction View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2006-01-01

AUTHORS

Erim Erdem , Laurence S. Baskin , Barry A. Kogan

ABSTRACT

48.10 ConclusionChildren with neurogenic bladder dysfunction can have a multitude of urological problems. These problems can be divided into four main categories, and therapy as well as follow-up should address them. These categories are as follows: (a) preservation of the upper urinary tract; (b) prevention of UTIs and reduction of their morbidity; (c) achieving continence at the appropriate age; and (d) providing adequate sexual function. Furthermore, taking all of the above into account, overall quality of life should be preserved.Urological follow-up should address these points. In general, these patients should have an annual history (emphasizing potential problems and requesting information on problems that might be too embarrassing for the patient to bring up on their own) and physical examination (looking especially for signs of tethered cord). A catheterization/voiding diary is very helpful in obtaining further objective information on urinary tract function. In addition, to look for subtle signs of urinary tract deterioration, we recommend an annual renal/bladder ultrasound. Specialized testing is done only on an as-needed basis. In particular, urodynamic studies are recommended only when there is a problem with urinary tract infections, hydronephrosis, or continence, or when there is a question of a tethered cord. For all patients, attention to psychological aspects, especially quality of life, is important. More... »

PAGES

369-376

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/3-540-30867-9_48

DOI

http://dx.doi.org/10.1007/3-540-30867-9_48

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1022503452


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