Vesico-renal reflux caused by neurogenic bladder from spina bifida in childhood

The authors report their experience related to 35 cases of neuropathic bladder examined during the last 12 months. They discuss the method followed for the study of each patient. Particularly they underline the importance of: scintiscan in the valuation of the renal function and urodynamic tests for...

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Published inActa bio-medica de L'Ateneo parmense : organo della Societa di medicina e scienze naturali di Parma Vol. 57; no. 1-2; p. 5
Main Authors Beseghi, U, Potenzoni, D, Mori, M, Sacchini, P, Ghinelli, C
Format Journal Article
LanguageItalian
Published Italy 1986
Subjects
Adolescent
Child
Child, Preschool
Female
Humans
Infant
Male
Radiography
Spina Bifida Occulta - complications
Urinary Bladder, Neurogenic - complications
Urinary Bladder, Neurogenic - etiology
Vesico-Ureteral Reflux - diagnostic imaging
Vesico-Ureteral Reflux - etiology
Vesico-Ureteral Reflux - therapy
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Summary:The authors report their experience related to 35 cases of neuropathic bladder examined during the last 12 months. They discuss the method followed for the study of each patient. Particularly they underline the importance of: scintiscan in the valuation of the renal function and urodynamic tests for a better knowledge of vesical disfunction. In the patient with vesicorenal reflux they propose two kinds of treatment (medical or surgical), selected after a complete valuation of radiologic, functional and urodynamic tests. They underline the importance of the pharmacological treatment, single or associated with surgical operation, in the patients with reflux and with a low vesical compliance and/or hyperreflexic bladder. Finally the Authors discuss the antireflux surgical techniques that they prefer and that have consented them to obtain excellent results.