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Combined surgery and intermittent catheterization for neurogenic bladder dysfunction in children.
Birth Defects Original Article Series
|January 1, 1977
Summary
Intermittent catheterization effectively manages neuropathic bladder. Adjunctive surgeries improve continence and renal function, offering a better alternative to urinary diversion or artificial sphincters.
Area of Science:
- Urology
- Nephrology
Background:
- Neuropathic bladder management often requires interventions beyond intermittent catheterization.
- Urinary diversion and artificial sphincters have been traditional, but often suboptimal, treatment options.
Purpose of the Study:
- To evaluate the efficacy of adjunctive surgical procedures in patients with neuropathic bladder undergoing intermittent catheterization.
- To compare these surgical options with traditional treatments like urinary diversion.
Main Methods:
- A cohort of 82 patients on long-term intermittent catheterization was analyzed.
- 38 patients underwent various adjunctive surgical procedures.
- Outcomes related to continence and renal function were assessed.
Main Results:
- Adjunctive surgical procedures were performed on 38 of 82 patients.
- These procedures demonstrated benefits in improving continence and preserving renal function.
- Uretero-ileocecocysto-urethroplasties were not successful in this series.
Conclusions:
- Adjunctive surgical procedures represent a preferable alternative to urinary diversion for neuropathic bladder.
- These surgical interventions may be superior to prosthetic or artificial urinary sphincters.
- Further research into optimal surgical techniques is warranted.