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Published on: August 28, 2020
Comment on "neurogenic bladder in a girl after surgery for cloacal malformation"
1Department of Pediatric and Adolescent Urology, University Medical Center Mannheim, Medical Faculty Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, D-68167, Mannheim, Germany.
Insights
Managing neurogenic bladder and bowel in children requires a thorough discussion of all urinary diversion options. This includes detailing the pros and cons of both continent and incontinent methods with all involved parties.
Area of Science:
- Pediatric Urology
- Neuroscience
- Reconstructive Surgery
Background:
- Children with neurogenic bladder and bowel conditions often require complex management strategies.
- Urinary diversion is a common surgical intervention for managing these conditions.
Purpose of the Study:
- To emphasize the critical need for comprehensive discussion of all urinary diversion options.
- To highlight the importance of involving patients, families, and multidisciplinary teams in decision-making.
Main Methods:
- This is a discussion-based abstract, outlining a recommended approach to patient and family counseling.
- It emphasizes a multidisciplinary team approach.
Main Results:
- A detailed discussion of all continent and incontinent urinary diversion techniques is essential.
- Informed consent and shared decision-making are paramount.
Conclusions:
- Effective management necessitates a thorough exploration of all urinary diversion advantages and disadvantages.
- Collaborative decision-making among patients, parents, caregivers, and healthcare professionals ensures optimal outcomes.
Abstract:
In children with a neurogenic bladder and bowel, all options for continent and incontinent diversions have to be discussed in detail including all advantages and disadvantages with the patient, parents, caregivers and all disciplines involved.
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