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Patterns of neurogenic bladder dysfunction in sacral agenesis

S A Koff, P A Deridder

    The Journal of Urology
    |July 1, 1977
    PubMed
    Summary
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    Sacral agenesis can cause varied neurogenic bladder issues due to motor neuron deficits. Comprehensive neurourological evaluation is crucial for managing bladder dysfunction in these patients.

    Area of Science:

    • Urology
    • Neurology
    • Developmental Biology

    Background:

    • Sacral agenesis is a congenital anomaly affecting the development of the sacrum and potentially the spinal cord.
    • Neurogenic bladder dysfunction is a common complication in patients with spinal cord abnormalities.

    Purpose of the Study:

    • To define the patterns of neurogenic bladder disease in patients with sacral agenesis.
    • To highlight the need for thorough neurourological assessment in this population.

    Main Methods:

    • Retrospective analysis of 13 patients diagnosed with sacral agenesis.
    • Clinical and urodynamic evaluation of bladder function.

    Main Results:

    • Observed individualized patterns of upper and/or lower motor neuronal deficits affecting bladder control.

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  • Demonstrated significant variability in bladder dysfunction among patients.

    • Conclusions:

    • Neurogenic bladder in sacral agenesis presents with diverse neurological deficits.
    • Complete neurourological evaluation and diligent follow-up are essential for effective management.