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Articles linked to this work by shared authors, journal, and citation graph.

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Commentary to 'Report on the Society for Fetal Urology panel discussion on the selection criteria and intervention for fetal bladder outlet obstruction'.

Journal of pediatric urology·2017
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Bladder Function After Fetal Surgery for Myelomeningocele.

Pediatrics·2015
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Urological results after fetal myelomeningocele repair in pre-MOMS trial patients at the Children's Hospital of Philadelphia.

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Editorial comment.

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Updated: Apr 25, 2026

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Neuropathic bladder in the neonate.

Michael C Carr1

  • 1Division of Urology, The Children's Hospital of Philadelphia, 3rd Flr Wood Center, 34th Street & Civic Center Boulevard, Philadelphia, PA 19104, USA.

Clinics in Perinatology
|August 27, 2014
PubMed
Summary
This summary is machine-generated.

Managing myelomeningocele in infants requires understanding bladder function for low-pressure storage and effective emptying. This approach helps prevent infections and promotes healthy kidney growth, often needing interventions like catheterization.

Keywords:
Detrusor external sphincter dyssynergyMyelomeningoceleSpina bifidaUrodynamics

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Area of Science:

  • Pediatric Urology
  • Neonatal Neurology
  • Developmental Biology

Background:

  • Myelomeningocele significantly impacts bladder function in infants.
  • Understanding urinary storage and emptying is crucial for management.
  • The primary goals are infection prevention and ensuring renal growth.

Purpose of the Study:

  • To outline the principles of bladder management in neonates with myelomeningocele.
  • To emphasize the role of urodynamic evaluation in risk stratification.
  • To highlight common interventions for achieving optimal bladder function.

Main Methods:

  • Review of current management strategies for neonatal myelomeningocele.
  • Emphasis on urodynamic evaluation for assessing bladder storage and emptying.
  • Discussion of therapeutic interventions including intermittent catheterization and pharmacotherapy.

Main Results:

  • Effective bladder management aims for low-pressure storage and periodic emptying.
  • Urodynamic evaluation stratifies neonates based on risk.
  • Most patients will require interventions during their lifetime.

Conclusions:

  • Optimal bladder management is essential for preventing urinary tract infections and promoting renal health in infants with myelomeningocele.
  • Urodynamic assessment is a key tool for guiding management decisions.
  • Intermittent catheterization and pharmacotherapy are vital components of long-term care.