Document Detail


Long-term urological follow-up of occult spinal dysraphism in children.
MedLine Citation:
PMID:  9008815     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
From 1980 to 1996 we followed up 65 children with occult spinal dysraphism (OSD) out of 85 observed in our urodynamic laboratory. The average age at diagnosis was 4.7 years (range: 1-21 years). In 19 cases (22%) the OSD was associated with anorectal anomalies (ARA). Urinary incontinence or voiding anomalies with urinary tract infection were the presenting symptom in 34 children (49%). At diagnosis all children underwent complete neuro-urological and urodynamic evaluation. Thirty-eight patients underwent neurosurgical correction. Vesicoureteral reflux (VUR) was present or developed in 17 patients: 15 underwent endoscopic procedures and 2 required surgery; 2 needed bladder augmentation because of upper tract and renal function deterioration. Urinary incontinence was treated mainly by intermittent catheterization and anticholinergic drugs, but endoscopic treatment was performed in 3 children. At long-term follow-up (2 to 14 years), socially acceptable continence was achieved in 78% of 57 children (8 could not be assessed because they were less than 4 years old). Upper urinary tract deterioration occurred in 15% and renal failure in 7.5%.
Authors:
M L Capitanucci; B D Iacobelli; M Silveri; G Mosiello; M De Gennaro
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift für Kinderchirurgie     Volume:  6 Suppl 1     ISSN:  0939-7248     ISO Abbreviation:  Eur J Pediatr Surg     Publication Date:  1996 Dec 
Date Detail:
Created Date:  1997-04-15     Completed Date:  1997-04-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9105263     Medline TA:  Eur J Pediatr Surg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  25-6     Citation Subset:  IM    
Affiliation:
Division of Pediatric Surgery, Children's Hospital Bambino Gesù, Passoscuro Roma, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Child, Preschool
Female
Follow-Up Studies
Humans
Infant
Male
Patient Care Team
Spina Bifida Occulta / diagnosis*,  physiopathology
Urinary Bladder, Neurogenic / diagnosis*,  physiopathology
Urinary Incontinence / diagnosis,  physiopathology
Urinary Tract Infections / diagnosis,  physiopathology
Urodynamics / physiology
Vesico-Ureteral Reflux / diagnosis,  physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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