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Bladder function in congenital non-cystic spinal abnormalities.

J E Scott

    Chirurgie Pediatrique
    |January 1, 1982
    PubMed
    Summary
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    Congenital spinal anomalies in children can cause bladder dysfunction, leading to incontinence. Management varies, with some cases improving spontaneously and others requiring interventions like catheterization.

    Area of Science:

    • Pediatric Urology
    • Neurology
    • Developmental Biology

    Background:

    • Congenital spinal anomalies are a known cause of lower urinary tract dysfunction in children.
    • These anomalies can affect bladder and urethral function, leading to various types of incontinence.
    • Understanding the specific anomaly is crucial for effective management.

    Purpose of the Study:

    • To describe bladder function disturbances in children with congenital non-cystic spinal anomalies.
    • To differentiate between types of bladder dysfunction based on spinal anomaly classification.
    • To evaluate the effectiveness of different management strategies.

    Main Methods:

    • Retrospective analysis of 11 children with congenital non-cystic spinal anomalies.
    • Classification of spinal anomalies into segmental (e.g., sacral agenesis) and dysraphic (e.g., lipomata, kyphoscoliosis) groups.

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  • Utilized manometric studies of the bladder and urethra to assess functional disturbances.

    • Main Results:

    • Segmental anomalies (sacral agenesis) were associated with incontinence without bladder distension.
    • Dysraphic anomalies (lipomata, kyphoscoliosis) were linked to incontinence due to retention with overflow.
    • Manometric studies aided in distinguishing functional bladder disturbances.

    Conclusions:

    • Congenital spinal anomalies present diverse bladder functional disturbances in children.
    • Classification of spinal anomalies helps predict the type of bladder dysfunction.
    • Management approaches including observation, pharmacotherapy, and intermittent catheterization can be effective.