| Urologic management of spina bifida. | |
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MedLine Citation:
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PMID: 20419776 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The urologist plays an important role in the multidisciplinary team of physicians who provide care for patients with spina bifida. We review common strategies for managing the urinary tract in these patients. The primary objective in all phases of life is protecting kidney function by minimizing bladder hostility and establishing a good capacity, low-pressure urinary reservoir. Ensuring adequate bladder and bowel continence is also paramount for enhancing self-esteem and independence. Medical therapy incorporating clean intermittent catheterization and antimuscarinic medication is the cornerstone of neurogenic bladder management and often the only intervention required to achieve the above goals. Others may require formal lower urinary tract reconstruction to prevent urinary tract deterioration. As will be shown, current management, while effective, is not supported by strong evidence-based protocols; and the impact of any intervention upon quality of life, while subjectively seen as positive, does not have objective validation. These limitations are recognized and currently the subject of urologic investigation. |
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Authors:
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Douglass B Clayton; John W Brock; David B Joseph |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Developmental disabilities research reviews Volume: 16 ISSN: 1940-5529 ISO Abbreviation: Dev Disabil Res Rev Publication Date: 2010 |
Date Detail:
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Created Date: 2010-04-26 Completed Date: 2010-08-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101319448 Medline TA: Dev Disabil Res Rev Country: United States |
Other Details:
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Languages: eng Pagination: 88-95 Citation Subset: IM |
Affiliation:
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Clinical Fellow in Pediatric Urology, Division of Pediatric Urology, Department of Urologic Surgery, Vanderbilt University, Nashville, Tennessee 37232, USA. douglas.b.clayton@vanderbilt.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Child Humans Meningomyelocele / epidemiology Quality of Life / psychology Spinal Dysraphism / epidemiology* Urinary Bladder Diseases / epidemiology, surgery Urologic Diseases / epidemiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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