| Revista: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000296508 |
| ISSN: | 1677-5538 |
| Autors: | Mingin, Gerald C1 Baskin, Laurence S |
| Institucions: | 1University of California, Children's Hospital, San Francisco, California. Estados Unidos de América |
| Any: | 2003 |
| Període: | Ene-Feb |
| Volum: | 29 |
| Número: | 1 |
| Paginació: | 53-61 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Teórico, descriptivo |
| Resumen en inglés | Spina bifida and myelodysplasia are associated with neurogenic abnormalities of the bladder and bowel function. All children with myelodysplasia require an evaluation of their urinary tract with ultrasound and urodynamics to confirm normal bladder and kidney function. Patients with anatomical and functional abnormalities require treatment, the mainstay being intermittent catheterization and anticholinergic medication. The treatment goals for patients with a neurogenic bladder are the preservation of the upper urinary tract, bladder and bowel continence, independence, autonomy, and facilitation of self-esteem. A minority of children will not respond to conservative therapy and will ultimately require surgical intervention. This review will discuss the surgical options for bladder augmentation, bladder neck reconstruction and closure, as well as the methods for the creation of continent catheterizable stomas. The timing, indications, and description for each procedure will be addressed. Finally, the antegrade continence enema procedure will be described for the management of refractory fecal incontinence |
| Disciplines | Medicina |
| Paraules clau: | Cirugía, Pediatría, Vejiga neurogénica, Malformaciones congénitas, Mielodisplasia, Técnicas quirúrgicas |
| Keyword: | Medicine, Pediatrics, Surgery, Neurogenic bladder, Congenital malformations, Myelodysplasia, Surgical techniques |
| Text complet: | Texto completo (Ver HTML) |
