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Urodynamic evaluation in pediatric neurogenic bladder.
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MedLine Citation:
PMID:  8240749     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Urodynamic evaluation in pediatric neurogenic bladder is prerequisite for accurate prediction of prognosis and selection of appropriate treatment modality. We classified normal, hyperreflexic and areflexic bladders by cystometry. Hyperreflexic bladder was subdivided into two groups with or without detrusor sphincter dyssynergia and areflexic bladder into low pressure and high pressure. Among 36 patients with myelodysplasia on whom we performed a videourodynamic study vesicoureteral reflux was found in three of 7 patients with hyperreflexia with detrusor sphincter dyssynergia, two of 6 patients with hyperreflexia without detrusor sphincter dyssynergia and five of 10 patients with areflexia with high pressure. Low pressure areflexic bladder didn't show vesicoureteral reflux. When we evaluated 39 pediatric neurogenic bladder patients with a mean 25.5 follow-up months period, upper tract deterioration was improved and normal findings persisted in all the compliant patients to treatment. In the noncompliant group initial abnormal upper tract findings persisted or aggravated, especially in hyperreflexic bladder with dyssynergia and high pressure areflexic bladder. One of the three hyperreflexic bladders with dyssynergia and two of six high pressure areflexic bladders received augmented cystoplasty. These data show that urodynamic evaluation in pediatric neurogenic bladder provides excellent criteria for selecting high risk groups in pediatric neurogenic bladder.
Authors:
K M Kim; H Choi
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of Korean medical science     Volume:  8     ISSN:  1011-8934     ISO Abbreviation:  J. Korean Med. Sci.     Publication Date:  1993 Jun 
Date Detail:
Created Date:  1994-01-04     Completed Date:  1994-01-04     Revised Date:  2011-03-17    
Medline Journal Info:
Nlm Unique ID:  8703518     Medline TA:  J Korean Med Sci     Country:  KOREA    
Other Details:
Languages:  eng     Pagination:  197-201     Citation Subset:  IM    
Affiliation:
Department of Urology, Seoul National University Children's Hospital, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Child, Preschool
Humans
Infant
Urinary Bladder, Neurogenic / physiopathology*
Urodynamics*

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

Full Text
Journal Information
Journal ID (nlm-ta): J Korean Med Sci
Journal ID (pmc): jkms
ISSN: 1011-8934
ISSN: 1598-6357
Publisher: Korean Academy of Medical Sciences
Article Information
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Print publication date: Month: 6 Year: 1993
Volume: 8 Issue: 3
First Page: 197 Last Page: 201
ID: 3053738
PubMed Id: 8240749

Urodynamic evaluation in pediatric neurogenic bladder.
K. M. Kim
H. Choi
Department of Urology, Seoul National University Children's Hospital, Korea.


Article Categories:
  • Research Article


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