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Related Experiment Videos

Changing attitudes toward urinary dysfunction in myelodysplasia.

H W Schoenberg, J P Shah, J Kyker

    The Journal of Urology
    |April 1, 1977
    PubMed
    Summary

    Alternative urinary diversion methods for myelodysplastic children, including prosthetic devices and intermittent catheterization, show short-term promise. These approaches aim to protect upper urinary tracts and maintain continence, warranting further investigation before supravesical diversion.

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    Area of Science:

    • Pediatric Urology
    • Nephrology
    • Biomedical Engineering

    Background:

    • Myelodysplastic children often require urinary diversion due to bladder dysfunction.
    • Traditional supravesical urinary diversion carries risks to upper urinary tracts and continence.
    • Alternative methods offer potential for improved outcomes.

    Purpose of the Study:

    • To evaluate alternative methods to supravesical urinary diversion in myelodysplastic children.
    • To assess the efficacy of prosthetic devices and intermittent catheterization in protecting upper urinary tracts and providing continence.

    Main Methods:

    • Utilized prosthetic devices for urinary management.
    • Employed intermittent clean catheterization, with and without pharmacologic agents.
    • Short-term evaluation of urinary tract status and continence.

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    Main Results:

    • Short-term follow-up indicated improvements and stability in most urinary tracts.
    • Alternative methods demonstrated potential for protecting upper urinary tracts.
    • Continence was achieved or maintained in a significant proportion of patients.

    Conclusions:

    • Alternative methods to supravesical urinary diversion should be considered in myelodysplastic children.
    • Strict adherence to criteria like sterile urine and physiological bladder pressures is crucial for favorable outcomes.
    • Long-term follow-up is necessary to definitively establish the long-term efficacy and safety of these alternatives.