Review article
https://doi.org/10.26800/LV-144-supl1-33
Contemporary approach to neurogenic urinary bladder in children
Andrea Cvitkorivć Roić
; Medicinski fakultet, Sveučilište Josipa Jurja Strossmayera u Osijeku, Osijek; Medicinski fakultet Sveučilišta u Rijeci, Rijeka; Poliklinika za dječje bolesti Helena, Zagreb
Iva Palčić
; Poliklinika za dječje bolesti Helena, Zagreb
Tatjana Lesar
; Poliklinika za dječje bolesti Helena, Zagreb
Goran Roić
; Medicinski fakultet Sveučilišta u Rijeci, Rijeka; Klinika za dječje bolesti Zagreb, Zagreb
Alemka Jaklin Kekez
; Poliklinika za dječje bolesti Helena, Zagreb
Abstract
Neurogenic urinary bladder is caused by impaired innervation of the lower urinary tract and is a risk factor for recurrent urinary tract infections, vesicoureteral reflux, hydronephrosis, urolithiasis and impaired renal function. Urodynamic studies have allowed us to better understand the pathophysiology of these disorders and early detection of risk factors for renal parenchymal damage. Immediately after the suspicion on a neurogenic
dysfunction, complete diagnostic workup is necessary, which includes ultrasound methods, 4-hour voiding observation, contrast-enchanced voiding urosonography, urodynamics and videourodynamics. The main goals of treatment and follow-up are the preservation of renal function, and after school age, socially acceptable continence. In this paper, we present contemporary approach to a child with neurogenic bladder with reference to our own many years of experience in the diagnosis and treatment of children and adolescents with various forms of this disorder.
Keywords
Hrčak ID:
275960
URI
Publication date:
24.4.2022.
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