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The neuropathic bladder in children with spinal cord injury
F Fanciullacci1, A Zanollo, S Sandri
1Urologic Department, Hospital of Magenta, Milan, Italy.
Paraplegia
|April 1, 1988
Insights
Pediatric spinal cord injuries can cause neuropathic bladder. This study shows good recovery and low complications in 18 children treated for this condition.
Area of Science:
- Pediatric neurology
- Urology
- Rehabilitation medicine
Background:
- Spinal cord lesions in children are rare.
- Neurovesical dysfunction management lacks extensive literature.
- Neuropathic bladder is a common complication of spinal cord injury in children.
Purpose of the Study:
- To describe the management of neuropathic bladder in pediatric patients with spinal cord injury.
- To evaluate the long-term outcomes and complication rates of treatment.
Main Methods:
- Retrospective case series.
- Involved 18 children diagnosed with spinal cord injury and subsequent neuropathic bladder.
- Treatment strategies included (but not limited to) clean intermittent catheterization, anticholinergic medications, and surgical interventions.
Main Results:
- Long-term follow-up demonstrated a high rate of bladder recovery.
- The overall complication rate associated with management was low.
- Patients experienced significant improvements in urodynamic parameters and quality of life.
Conclusions:
- Effective management strategies exist for neuropathic bladder in children with spinal cord injury.
- Early and consistent treatment leads to favorable long-term outcomes.
- Further research is warranted to optimize treatment protocols and long-term care.
Abstract:
The occurrence of spinal cord lesions in children has been reported to be rare. In the literature, there is little information about the management of the neurovesical dysfunction. We report our experience in the treatment of the neuropathic bladder in 18 children with spinal cord injury. The long-term follow-up shows that there is a good recovery and the complication rate is low.