Urological Concerns of Occult Spinal Dysraphism/Tethered Cord

Joseph, David B.

doi:10.1007/978-3-030-10994-3_16

Cited by 1 publication

(2 citation statements)

References 60 publications

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“…The scientific basis for this is often attributed to the study by McGuire and colleagues from 1981, who presented results suggesting that a leak-point pressure higher than 40 cm water was related to increased risk of renal failure (McGuire et al, 1981). It has been suggested that a pressure under 30 or 25 cm should be considered safe (Joseph, 2019). This is also in accordance with the strategy used in the ongoing UMPIRE study in which hostile bladders, see Table 12 require CIC and anticholinergic treatment.…”

Section: Gfr Nuclear Scan Xmentioning

confidence: 86%

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Neurogenic bladder and bowel dysfunction : Clinical aspects in children with spinal dysraphism

Wide

2020

Linköping University Medical Dissertations

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Spinal dysraphism (SD) is a congenital malformation that to a varying extent, often severely, affects the life of the child and the family. Most individuals with SD suffer from neurogenic bladder and bowel dysfunction-with the risk of urinary tract infections, renal deterioration, urinary and fecal incontinence-that affects social participation and quality of life negatively. In newborns with SD, early detection of neurogenic bladder dysfunction and determination of post-void residual urine are required to determine the need of clean intermittent catheterization (CIC) and follow-up.The non-invasive method of four-hour voiding observation with provocation test (VOP) was used to evaluate bladder function in 50 newborn children with SD. Voiding patterns for the children were described and compared with those of 50 healthy newborns evaluated with VOP in an earlier study. Comparison revealed significant differences among several variables. In particular, leakage at provocation test and not voiding with a stream were common in newborns with SD but did not occur in healthy newborns. VOP is a non-invasive standardized method to determine residual urine in newborns with SD. It also adds information on voiding pattern, frequency, voiding with a stream and leakage at provocation.

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Section: Gfr Nuclear Scan Xmentioning

confidence: 86%

“…In the future, a larger cohort would be needed to find cut-off pressures for increased risk, and elucidate the contribution of other risk factors, as suggested by Joseph, see Table C (Joseph, 2019), and the creators of the UMPIRE protocol (Routh et al, 2016).…”

Section: Methodological Considerationsmentioning

confidence: 99%

Neurogenic bladder and bowel dysfunction : Clinical aspects in children with spinal dysraphism

Wide

2020

Linköping University Medical Dissertations

View full text Add to dashboard Cite

show abstract

Urological Concerns of Occult Spinal Dysraphism/Tethered Cord

Cited by 1 publication

References 60 publications

Neurogenic bladder and bowel dysfunction : Clinical aspects in children with spinal dysraphism

Neurogenic bladder and bowel dysfunction : Clinical aspects in children with spinal dysraphism

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