Abstract
Patients with congenital neurogenic dysfunction of the lower urinary tract are at risk of long-term renal dysfunction and failure; therefore, early diagnosis and close monitoring of these patients from infancy to adulthood is crucial to providing effective urological care. The diagnosis of “neurogenic bladder” is often used to describe this patient population, which includes patients with diverse disease processes and varied prognoses who may benefit from distinct interventions. Detailed history, physical examination, laboratory, and radiological workup are necessary to correctly manage these patients and prevent long-term sequelae of voiding dysfunction. This chapter presents index cases from three categories of patients with neurogenic dysfunction of the lower urinary tract, including their clinical presentation, workup, and treatment course. Lastly, we discuss the implications of neurogenic bladder on the indications and evaluation for renal transplantation.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Danforth TL, Ginsberg DA. Neurogenic lower urinary tract dysfunction: how, when, and with which patients do we use urodynamics? Urol Clin North Am. 2014;41:445–52. ix.
Hellstrom WJ, Edwards MS, Kogan BA. Urological aspects of the tethered cord syndrome. J Urol. 1986;135:317–20.
Yener S, Thomas DT, Hicdonmez T, Dagcinar A, Bayri Y, Kaynak A, Dagli TE, Tugtepe H. The effect of untethering on urologic symptoms and urodynamic parameters in children with primary tethered cord syndrome. Urology. 2015;85:221–6.
Wein A, Dmochowski R. Neuromuscular dysfunction of the lower urinary tract. In: Campbell-Walsh urol. 10th ed. Philadelphia: Elsevier; 2012. p. 1909–46.
Wyndaele JJ. Correlation between clinical neurological data and urodynamic function in spinal cord injured patients. Spinal Cord. 1997;35:213–16.
McGuire EJ, Woodside JR, Borden TA, Weiss RM. Prognostic value of urodynamic testing in myelodysplastic patients. J Urol. 2002;167:1049–53; discussion 1054.
Leal da Cruz M, Liguori R, Garrone G, Leslie B, Ottoni SL, Carvalheiro S, Moron AF, Ortiz V, Macedo A. Categorization of bladder dynamics and treatment after fetal myelomeningocele repair: first 50 cases prospectively assessed. J Urol. 2015;193:1808–12.
Adzick NS, Thom EA, Spong CY, et al. A randomized trial of prenatal versus postnatal repair of myelomeningocele. N Engl J Med. 2011;364:993–1004.
Atala A, Bauer SB, Dyro FM, Shefner J, Shillito J, Sathi S, Scott RM. Bladder functional changes resulting from lipomyelomeningocele repair. J Urol. 1992;148:592–4.
Vij S, Wadick K, Luzney P, Myers J, Poggio E, Hertz B, Wood H. Assessing renal function in adult myelomeningocele patients: correlation between volumetric and creatinine-based measurements. J Clin Nephrol Ren Care. 2016;2:003.
DeLair SM, Eandi J, White MJ, Nguyen T, Stone AR, Kurzrock EA. Renal cortical deterioration in children with spinal dysraphism: analysis of risk factors. J Spinal Cord Med. 2007;30 Suppl 1:S30–4.
De Kort LMO, Bower WF, Swithinbank LV, Marschall-Kehrel D, de Jong TPVM, Bauer SB. The management of adolescents with neurogenic urinary tract and bowel dysfunction. Neurourol Urodyn. 2012;31:1170–4.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Abelson, B., Wood, H.M. (2017). Adolescent/Early Adult Former Pediatric Neurogenic Patients: Special Considerations. In: Firoozi, F. (eds) Interpretation of Basic and Advanced Urodynamics. Springer, Cham. https://doi.org/10.1007/978-3-319-43247-2_13
Download citation
DOI: https://doi.org/10.1007/978-3-319-43247-2_13
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-43245-8
Online ISBN: 978-3-319-43247-2
eBook Packages: MedicineMedicine (R0)