Credé expression of the bladder: a sometimes useful maneuver
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The Journal of Urology
|December 1, 1976
Insights
The Credé maneuver effectively resolved upper tract changes in two children with neurovesical dysfunction. This technique offers a valuable management option for selected pediatric cases needing temporary intervention.
Area of Science:
- Pediatric Urology
- Neuroscience
Background:
- Neurovesical dysfunction presents significant challenges in pediatric care.
- Management often requires interventions to prevent upper urinary tract deterioration.
Observation:
- Two pediatric patients with neurovesical dysfunction were studied.
- Upper tract changes, indicative of potential renal damage, were observed.
Findings:
- Initiation of Credé expressions (a manual bladder expression technique) led to the resolution of upper tract changes.
- The Credé maneuver demonstrated efficacy in improving the condition of these patients.
Implications:
- The Credé maneuver is a viable therapeutic option for managing selected children with neurovesical dysfunction.
- This technique may be particularly useful when a temporizing management strategy is required, potentially avoiding more invasive procedures.
Abstract:
Two children with neurovesical dysfunction are described. The upper tract changes were resolved following the initiation of the Credé expressions of the bladder. It is suggested that the Credé maneuver has a place in the management of selected children with neurovesical dysfunction, particularly when temporization is needed.