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The upper urinary tract in neurogenic bladders without diversion---a ten-year follow-up

K Devens, H J Pompino, F Kübler

    Progress in Pediatric Surgery
    |January 1, 1977
    PubMed

    Insights

    In children with neurogenic bladders, 50% develop subvesical obstruction by age 5. Those without obstruction by 5 are unlikely to develop it by 10, but may need urinary diversion if it occurs earlier.

    Area of Science:

    • Pediatric Urology
    • Nephrology
    • Child Development

    Background:

    • Neurogenic bladder affects bladder function in children.
    • Subvesical obstruction is a potential complication.
    • Early identification of risk is crucial for management.

    Purpose of the Study:

    • To determine the incidence of subvesical obstruction in children with neurogenic bladders.
    • To identify predictors for developing subvesical obstruction.
    • To inform management strategies for this patient group.

    Main Methods:

    • Retrospective analysis of pediatric patients with neurogenic bladders.
    • Monitoring for the development of subvesical obstruction up to age 10.
    • Categorization based on obstruction development before or after age 5.

    Main Results:

    • 50% of children with neurogenic bladders developed subvesical obstruction within the first 5 years of life.
    • Children without obstruction by age 5 showed a low likelihood of developing it by age 10.
    • Early obstruction (before age 5) identified children as candidates for urinary diversion.

    Conclusions:

    • Subvesical obstruction is a common complication in pediatric neurogenic bladders.
    • The timing of obstruction development is a key factor in prognosis.
    • Urinary diversion may be indicated for early-onset subvesical obstruction.

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