A STUDY ON NEUROGENIC BLADDER ON SURGICAL MANAGEMENT AND FOLLOW UP
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 2642-2655
Abstractmanagement, compliance to clean intermittent catheterization, and follow up in children suffering with neurogenic bladder.
Materials and Methods: It was an observational study conducted at Department of paediatric surgery, Niloufer hospital for woman and child health, Hyderabad. Duration of the study 4 months extending from October 2016 to September 2018. Children between 3-12 years presenting to the department of pediatric surgery with complaints of dribbling of urine and other lower urinary tract symptoms with congenital neural tube defects like sacral agenesis or meningocele/ meningomyelocele/ lipomeningocele or tethered cord syndrome.
Results: NBSD is more commonly seen in male children. NBSD in patients with MMC presents earlier compared to other cases. Diagnosis of NBSD is obvious as most of these cases have a past history of surgical intervention. Renal functions were normal in most of the children with NBSD. VUR in patients with NSBD improved in significant number of cases with non-surgical management. Scarring on DMSA is commonly seen in patients of NBSD associated with VUR. The renal function as assessed by DMSA improved in 1/3rd of patients after non-surgical management.
Conclusion: Most of the patients with NBSD have abnormal UDS findings. Bladder compliance improved in 41.9% of the cases and end filling pressures improved in 50% of cases by non-surgical management.
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