Stein, R. and Schroeder, A. and Beetz, R. and Ermert, A. and Filipas, D. and Fisch, M. and Goepel, M. and Koerner, I. and Schoenberger, B. and Sparwasser, C. and Stoehrer, M. and Thueroff, J. W. (2007) Urological problems in patients with meningomyelocele. UROLOGE, 46 (12). pp. 1620-1642. ISSN 0340-2592, 1433-0563
Full text not available from this repository. (Request a copy)Abstract
Since the 1980s the management of children and adolescents with meningomyelocele has undergone major changes. The introduction of pharmacotherapy with antimuscarinic agents, clean intermittent catheterization (CIC) and antibacterial prophylaxis has revolutionized the management of children with neurogenic bladder. The co-operation between neonatologists, neurosurgeons, paediatric neurologists, paediatricians, paediatric urologists, paediatric nephrologists, paediatric orthopaedists and paediatric surgeons is necessary to achieve an optimized therapy in each individual patient. In this interdisciplinary consensus paper we provide definitions and classifications as well as a timetable for the appropriate investigations. The conservative and surgical options are explained in detail. A short review is given concerning orthopaedic management, incidence of latex allergy, options for bowel management, diagnosis and treatment of urinary tract infections, problems with sexuality and fertility as well as the long-term compliance of these patients and their relatives.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | CLEAN INTERMITTENT CATHETERIZATION; NEUROGENIC BLADDER DYSFUNCTION; URINARY-TRACT-INFECTION; INTRAVESICAL OXYBUTYNIN CHLORIDE; PIPPI-SALLE PROCEDURE; SPINAL-CORD-INJURY; BOTULINUM-A TOXIN; AUGMENTATION CYSTOPLASTY; FOLLOW-UP; LATEX ALLERGY; neurogenic bladdeer; meningomyelocele; pharmacotherapy; clean intermittent catheterization; antibacterial prophylaxis; urinary tract infection; latex allergy; bowel function; urinary diversion |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Kinder- und Jugendmedizin |
| Depositing User: | Petra Gürster |
| Date Deposited: | 10 Dec 2020 08:52 |
| Last Modified: | 10 Dec 2020 08:52 |
| URI: | https://pred.uni-regensburg.de/id/eprint/31888 |
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