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Urodynamic Dysfunction In Walking Myelodysplastic Children

1992; Lippincott Williams & Wilkins; Volume: 148; Issue: 2 Part 1 Linguagem: Inglês

10.1016/s0022-5347(17)36597-7

1527-3792

Dante P. Dator, Lawrence Hatchett, Frances M. Dyro, Jeremy M. Shefner, Stuart B. Bauer,

Family and Disability Support Research

No AccessJournal of Urology1 Aug 1992Urodynamic Dysfunction In Walking Myelodysplastic Children Dante P. Dator, Lawrence Hatchett, Frances M. Dyro, Jeremy M. Shefner, and Stuart B. Bauer Dante P. DatorDante P. Dator More articles by this author , Lawrence HatchettLawrence Hatchett More articles by this author , Frances M. DyroFrances M. Dyro More articles by this author , Jeremy M. ShefnerJeremy M. Shefner More articles by this author , and Stuart B. BauerStuart B. Bauer More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)36597-7AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We evaluated urodynarnically and radiologically 54 children with myelodysplasia and neurological deficits at or below the SI level. Baseline urodynamic testing was normal in 13 patients (24%), while 12 (22%) had an upper motor neuron and 13 (24%) had a lower motor neuron type of dysfunction. A total of 7 patients (13%) had a mixed upper and lower motor neuron type, and 9 (17%) had only lower motor neuron dysfunction of the urethral sphincter with a normally contractile bladder. Followup studies varying in time from 1 month to 10 years showed a changing neurourological lesion in 29 patients (54%): 25 deteriorated while 4 improved. Of the 54 children 20 had hydronephrosis and/or vesicoureteral reflux. Incontinence was the major problem in 41 patients (75%), and was managed initially with pharmacological agents and/or clean intermittent catheterization, with 9 of the 41 eventually requiring surgery. Urodynamic assessment reveals a variable picture that does not correlate well with the apparent neurological examination. Despite the low level of the neurological deficit, many children may be at risk for urinary tract deterioration. These findings emphasize the importance of continuous surveillance and appropriate management in this group of myelodysplastic children who have the greatest potential for a normal life. Accepted for publication January 31, 1992. Read at annual meeting of American Urological Association, Toronto, Ontario, Canada, June 2–6,1991. © 1992 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byGuerra L, Pike J, Milks J, Barrowman N and Leonard M (2018) Outcome in Patients Who Underwent Tethered Cord Release for Occult Spinal DysraphismJournal of Urology, VOL. 176, NO. 4S, (1729-1732), Online publication date: 1-Oct-2006.VAN SAVAGE J, PEREZ-ABADIA G, PALANCA L, BARDOEL J, HARRALSON T, SLAUGHENHOUPT B, PALACIO M, TOBIN G, MALDONADO C and BARKER J (2018) ELECTRICALLY STIMULATED DETRUSOR MYOPLASTYJournal of Urology, VOL. 164, NO. 3 Part 2, (969-972), Online publication date: 1-Sep-2000.CURRAN M, KAEFER M, PETERS C, LOGIGIAN E and BAUER S (2018) THE OVERACTIVE BLADDER IN CHILDHOOD: LONG-TERM RESULTS WITH CONSERVATIVE MANAGEMENTJournal of Urology, VOL. 163, NO. 2, (574-577), Online publication date: 1-Feb-2000.KRYGER J, GONZÁLEZ R and BARTHOLD J (2018) REVIEW ARTICLE: SURGICAL MANAGEMENT OF URINARY INCONTINENCE IN CHILDREN WITH NEUROGENIC SPHINCTERIC INCOMPETENCEJournal of Urology, VOL. 163, NO. 1, (256-263), Online publication date: 1-Jan-2000.DAMASER M, BRZEZINSKI K, WALTER J, WHEELER J, SCHROEDER L and HATCH D (2018) ESTIMATING DETRUSOR PRESSURE AT HOME IN PEDIATRIC PATIENTS WITH MYELOMENINGOCELEJournal of Urology, VOL. 162, NO. 4, (1410-1413), Online publication date: 1-Oct-1999.Palmer L, Richards I and Kaplan W (2018) Age Related Bladder Capacity and Bladder Capacity Growth in Children With MyelomeningoceleJournal of Urology, VOL. 158, NO. 3, (1261-1264), Online publication date: 1-Sep-1997.Pontari M, Keating M, Kelly M, Dyro F and Bauer S (2018) Retained Sacral Function in Children with High Level MyelodysplasiaJournal of Urology, VOL. 154, NO. 2, (775-777), Online publication date: 1-Aug-1995. Volume 148Issue 2 Part 1August 1992Page: 362-365 Advertisement Copyright & Permissions© 1992 by The American Urological Association Education and Research, Inc.Keywordsspinal cordpediatricsmyelodysplastic syndromesurodynamicsMetricsAuthor Information Dante P. Dator More articles by this author Lawrence Hatchett More articles by this author Frances M. Dyro More articles by this author Jeremy M. Shefner More articles by this author Stuart B. Bauer More articles by this author Expand All Advertisement PDF downloadLoading ...