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Urinary continence across the life course

Kathryn Smith1, Stacey Mizokawa, Ann Neville-Jan

  • 1Department of Pediatrics, University of Southern California, University Center for Excellence in Developmental Disabilities, Children's Hospital Los Angeles, 4650 Sunset Boulevard, Los Angeles, CA 90027, USA. kasmith@chla.usc.edu

Pediatric Clinics of North America
|October 2, 2010
PubMed

Insights

Spina bifida, a common neural tube defect, requires lifelong management of urinary continence and urologic complications. Pediatricians play a key role in the urologic care of children with spina bifida.

Area of Science:

  • Neurology
  • Urology
  • Pediatrics

Background:

  • Spina bifida is a common congenital central nervous system defect affecting spinal cord development.
  • Urologic complications, including renal damage, are severe risks, impacting long-term health.
  • Increased survival rates necessitate a focus on quality of life, particularly urinary continence.

Purpose of the Study:

  • To review the literature on urinary continence in spina bifida.
  • To discuss lifelong urologic issues and clinical implications.
  • To highlight the pediatrician's role in managing spina bifida-related urologic care.

Main Methods:

  • Literature review of studies on spina bifida and urinary continence.
  • Analysis of urologic complications across the lifespan.
  • Discussion of clinical practice and pediatrician's role.

Main Results:

  • Most children with spina bifida have normal urinary tracts initially, but complications can arise.
  • Prevention of urologic issues and promotion of continence are critical for adult survival.
  • Pediatricians are central to the urologic care and management of these patients.

Conclusions:

  • Lifelong urologic care is essential for individuals with spina bifida.
  • Effective management strategies improve quality of life and prevent severe complications.
  • Enhanced pediatrician involvement ensures comprehensive care for spina bifida patients.

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