Spinal dysraphism, which includes conditions such as myelomeningocele and sacral agenesis, is one of the most common causes of congenital lower urinary tract dysfunction. Early evaluation of the neurogenic bladder serves to minimize renal damage, and the main goals of management include preserving renal function, achieving acceptable continence, and optimizing quality of life. The survival of patients with such conditions has improved to greater than 80% reaching adulthood, owing to advances in diagnostic and therapeutic modalities. The result is a real, and unfortunately often unmet, need for successful transitional care in this complex patient population. Clinicians must be able to identify the unique challenges encountered by patients with neurogenic bladder as they shift through different stages of their life.
Evaluation and Long-term Management of Neurogenic Bladder in Spinal Dysraphism
Drs Le, Cardona-Grau, and Chiang have disclosed no financial relationships relevant to this article. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device. Dr Le’s current affiliation is Section of Pediatric Urology, Baylor Scott and White Health, Temple, TX.
Hoang-Kim Le, Diana Cardona-Grau, George Chiang; Evaluation and Long-term Management of Neurogenic Bladder in Spinal Dysraphism. Neoreviews December 2019; 20 (12): e711–e724. https://doi.org/10.1542/neo.20-12-e711
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