Document Detail

Management of the Urinary Tract in Spina Bifida Cases Varies With Lesion Level and Shunt Presence.
MedLine Citation:
PMID:  21527197     Owner:  NLM     Status:  Publisher    
PURPOSE: The urinary and gastrointestinal tracts remain an enormous burden to the patient with spinal dysraphism. We examined our cases to determine the relationship between the level and type of spinal dysraphism, presence of a ventricular shunt, and urinary and gastrointestinal tract management. MATERIALS AND METHODS: After receiving ethics approval we reviewed the charts of 155 patients younger than 17 years with spinal dysraphism. We compiled all pertinent neurological, genitourinary and gastrointestinal outcomes from our pediatric and adolescent spina bifida clinic. RESULTS: Of our cohort 43% performed clean intermittent catheterization, including significantly more patients with myelomeningocele vs those with lipomeningocele or tethered cord (73% vs 19%, p <0.01). The intestinocystoplasty rate varied with lesion level and was significantly higher in cases of thoracic and thoracolumbar lesions than in cases of tethered cord, lipomeningocele and sacral myelomeningocele (p <0.005). Of the patients 52% older than 5 years were continent of urine but this varied significantly with lesion level and ventricular shunt presence. The urinary continence rate was highest in patients with a tethered spinal cord (57%), lipomyelomeningocele (65%) or sacral myelomeningocele (60%) (vs thoracic and lumbar myelomeningocele p <0.005). However, there was minimal difference between lumbar and thoracic lesions (25% and 26%, respectively). Of our patients 73% were also continent of feces, which did not vary with lesion level. CONCLUSIONS: Our data confirm the association of lesion level, a ventricular shunt and continence.
Peter Metcalfe; Darren Gray; Darcie Kiddoo
Related Documents :
10613607 - Doppler flowmetry in the differentiation of biological characteristics of ovarian cancer.
22725947 - Rapamycin-mediated suppression of renal cyst expansion in del34 pkd1(-/-) mutant mouse ...
18277017 - Comparison of long-term angiographic follow-up after sirolimus-eluting stent and bare-m...
19823057 - Accuracy of ultrasonography with color doppler in ovarian tumor: a systematic quantitat...
2910227 - Pseudoepitheliomatous hyperplasia in spitz nevi. a possible source of confusion with sq...
22642597 - Xanthomas of the stomach: a report of two cases.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-18
Journal Detail:
Title:  The Journal of urology     Volume:  -     ISSN:  1527-3792     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-4-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.
Division of Pediatric Surgery, Department of Surgery and Faculty of Medicine (DG), University of Alberta, Edmonton, Alberta, Canada.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Posterior Urethral Valve Treatments and Outcomes in Children Receiving Kidney Transplants.
Next Document:  Use of an Inflatable Silicone Balloon Improves the Success Rate of Bladder Autoaugmentation at Long-...