Portal de Periódicos da CAPES

The Nonneurogenic Neurogenic Bladder of Early Infancy

1997; Lippincott Williams & Wilkins; Volume: 158; Issue: 3 Linguagem: Inglês

10.1016/s0022-5347(01)64455-0

1527-3792

Venkata R. Jayanthi, Antoine E. Khoury, Gordon A. McLorie, Sanjiv Agarwal,

Urinary Bladder and Prostate Research

No AccessJournal of UrologyMyelodysplasia/Neurogenic Bladder1 Sep 1997The Nonneurogenic Neurogenic Bladder of Early Infancy V.R. Jayanthi, A.E. Khoury, G.A. McLorie, and S.K. Agarwal V.R. JayanthiV.R. Jayanthi , A.E. KhouryA.E. Khoury , G.A. McLorieG.A. McLorie , and S.K. AgarwalS.K. Agarwal View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)64455-0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The nonneurogenic neurogenic bladder has traditionally been believed to represent a disorder of older children. We report on patients in whom congenital dysfunctional voiding may be the underlying cause of nonneurogenic neurogenic bladder in early infancy. Materials and Methods: We evaluated 5 male and 2 female patients newborn to 30 months old with dysfunctional neurogenic bladder and no evidence of neurological pathology or anatomical outflow obstruction. Presentation included prenatal hydronephrosis in 3 cases, urosepsis in 2 and failure to thrive in 2. Radiological and urodynamic investigations revealed thick walled, poorly compliant bladders in 5 patients and incomplete bladder emptying bordering on urinary retention in 2. There was significant upper tract pathology in all cases, including azotemia in 4, reflux in 4 and hydroureteronephrosis in 6. Due to poor bladder function, manifested by incomplete emptying or high storage pressures, all patients were initially treated with cutaneous vesicostomy. Results: Bladder appearance and function subsequently improved in 3 patients and vesicostomy was reversed. Three patients with persistently thickened bladders, including 2 with renal failure, underwent bladder augmentation. The remaining patient had improve bladder storage function but requires intermittent catheterization. Conclusions: The nonneurogenic neurogenic bladder represents a rare, severe form of dysfunctional voiding that may be present even in the neonatal period. References 1 : Vesical and ureteral damage from voiding dysfunction in boys without neurologic or obstructive disease.. J. Urol.1973; 109: 727. Abstract, Google Scholar 2 : Nonneurogenic neurogenic bladder (the Hinman syndrome)-15 years later.. J. Urol.1986; 136: 769. Abstract, Google Scholar 3 : The non-neurogenic neurogenic bladder.. J. Urol.1977; 117: 232. Abstract, Google Scholar 4 : Chronic retention of urine in children.. J.A.M.A.1915; 65: 1709. Google Scholar 5 : Non-neurogenic neurogenic bladder and chronic renal insufficiency in childhood.. Ped. Nephrol.1995; 9: 1. Google Scholar 6 : Occult neuropathic bladder.. Urology1977; 10: 1. Google Scholar 7 : A rare congenital uropathy: vesico-urethral dysfunction with upper tract anomalies.. Brit. J. Urol.1969; 41: 307. Google Scholar 8 : The occult neuropathic bladder.. J. Ped. Surg.1974; 9: 35. Google Scholar 9 : Some new insights into bladder function in infancy.. Brit. J. Urol.1995; 76: 235. Google Scholar 10 : Video cystometric recording of dilating reflux in infancy.. J. Urol.1996; 155: 1711. Link, Google Scholar 11 : Gross bilateral reflux in infants: gradual decrease of detrusor hypercontractility.. J. Urol.1996; 155: 668. Abstract, Google Scholar 12 : Transient urodynamic dysfunction of infancy: relationship to urinary tract infections and vesicoureteral reflux.. J. Urol.1996; 155: 673. Abstract, Google Scholar 13 : The changing urodynamic pattern in valve bladder in infancy.. J. Urol.1995; 153: 463. Abstract, Google Scholar 14 : Some observations on the pathology of idiopathic congenital bladder neck obstruction (Marion's disease).. Brit. J. Urol.1957; 29: 393. Google Scholar 15 : A hypothesis for the higher incidence of vesico-ureteral reflux and primary megaureters in male babies.. Ped. Rad.1991; 22: 1. Google Scholar 16 : Cowper's glands cysts-a cause of transient intra-uterine bladder outflow obstruction?. Fetal Diagn. Ther.1993; 8: 51. Google Scholar 17 : The unrecognized neuropathic bladder of infancy.. J. Urol.1989; 142: 589. Abstract, Google Scholar 18 : Dysfunctional voiding syndromes and vesicoureteral reflux.. Ped. Nephrol.1994; 8: 116. Google Scholar From the Section of Pediatric Urology, Ohio State University, Columbus, Ohio, and Division of Urology, Hospital for Sick Children, Toronto, Ontario, Canada.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byTiryaki S, Eraslan C, Soyer T, Calli C, Ulman I and Avanoglu A (2019) Nonneuropathic Neuropathic Bladder—Is it Really Nonneuropathic?Journal of Urology, VOL. 201, NO. 4, (802-809), Online publication date: 1-Apr-2019.Ichino M, Igawa Y, Seki S, Ishizuka O and Nishizawa O (2018) Natural History and Etiology of High Pressure Voiding in Male InfantsJournal of Urology, VOL. 178, NO. 6, (2561-2566), Online publication date: 1-Dec-2007.KAKIZAKI H, MORIYA K, AMEDA K, SHIBATA T, TANAKA H and KOYANAGI T (2018) Diameter of the External Urethral Sphincter as a Predictor of Detrusor-Sphincter Incoordination in Children: Comparative Study of Voiding CystourethrographyJournal of Urology, VOL. 169, NO. 2, (655-658), Online publication date: 1-Feb-2003.FARHAT W, BÄGLI D, CAPOLICCHIO G, O’REILLY S, MERGUERIAN P, KHOURY A and McLORIE G (2018) THE DYSFUNCTIONAL VOIDING SCORING SYSTEM: QUANTITATIVE STANDARDIZATION OF DYSFUNCTIONAL VOIDING SYMPTOMS IN CHILDRENJournal of Urology, VOL. 164, NO. 3 Part 2, (1011-1015), Online publication date: 1-Sep-2000.PORENA M, COSTANTINI E, ROCIOLA W and MEARINI E (2018) BIOFEEDBACK SUCCESSFULLY CURES DETRUSOR-SPHINCTER DYSSYNERGIA IN PEDIATRIC PATIENTSJournal of Urology, VOL. 163, NO. 6, (1927-1931), Online publication date: 1-Jun-2000. Volume 158Issue 3September 1997Page: 1281-1285 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information V.R. Jayanthi More articles by this author A.E. Khoury More articles by this author G.A. McLorie More articles by this author S.K. Agarwal More articles by this author Expand All Advertisement PDF downloadLoading ...