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2016 ; 11
(ä): 225-233
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The Management of the Pediatric Neurogenic Bladder
#MMPMID27610207
Sturm RM
; Cheng EY
Curr Bladder Dysfunct Rep
2016[]; 11
(ä): 225-233
PMID27610207
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Neurogenic bladder is a heterogeneous entity that may result from a variety of
conditions affecting the central or peripheral nervous systems. Regardless of
etiology, the overall goals of management are primarily twofold. As a neurogenic
bladder may affect the ability to store urine safely and to empty the bladder
efficiently, early management is focused on optimization of bladder storage
function to prevent irreversible injury to either the upper or lower urinary
tracts. In older children, this goal is added to the challenge of maximizing
quality of life through achievement of urinary continence and independence in
bladder management that continues into the transition to adulthood. In this
review, we seek to bring the reader up-to-date regarding management of the
pediatric neurogenic bladder with a focus on literature published in the past
year. We discuss key contributions related to fetal intervention for
myelomeningocele, monitoring and medical management of the neurogenic bladder and
prediction of postoperative outcomes. Put together, these studies highlight the
continued need for further research to improve evidence-based medical and
surgical decision-making strategies for children affected by neurogenic bladder.
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