Neuropathic Bladder in the Neonate

• Autores: Michael C. Carr
• Localización: Clinics in Perinatology, ISSN 0095-5108, Vol. 41, Nº. 3, 2014, págs. 725-733
• Idioma: inglés
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• Resumen

  • The management of infants born with myelomeningocele depends on understanding how their bladder stores and empties urine. Storage at low pressure with effective emptying periodically throughout the day is the goal. Intervention is designed to impact on one or both of these processes so that infants can remain infection-free and at the same time allow for appropriate renal growth over time. Urodynamic evaluation plays an important role, so that neonates can be stratified according to their risk. Most patients require intermittent catheterization and pharmacotherapy to achieve these goals at some point in their lives.