[The spina bifida child with special reference to urologic disease]

From the view of the urological diseases a new conception of the spina bifida cystica is represented. The first part contains informations on etiology, pathological anatomy and physio-pathology. Considering the urological diseases (neurogenic bladder with incontinence and residual urine, vesico ureteric reflux and chronic pyelonephritis) special importance is attached to the pathogenesis. Within the therapeutic methods the treatment with the alpha-blocking agent Phenoxybenzamin (Dibenzyran, Röhm Pharma GmbH, Darmstadt) is emphasized as the actual therapy of the neurogenic bladder. The operative indication of the Ileum-Conduit (Bricker-) is mentioned. An analysis of 125 spina bifida-patients with the pathological findings in the kidneys and the urinary tract is given.