Modern Management of Neurogenic Bladder: Making the Child the Focus of Therapeutic Efforts
نویسندگان
چکیده
The management of children with neurogenic bladder (NB) has remained a source of great dilemma for paediatric urologists since time immemorial. Several paths have been approached to reach the ultimate goal of upper tract preservation as well as to grant a socially acceptable life to these children and their families. Over the years, the 'proactive' approach of universal institution of therapy from the neonatal period onwards has gradually taken precedence over a 'reactive' approach, based on urodynamic parameters or the radiological sequelae. In this review we have summarized the various available options in the managment of neurogenic bladder.
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The Management of the Pediatric Neurogenic Bladder
Neurogenic bladder is a heterogeneous entity that may result from a variety of conditions affecting the central or peripheral nervous systems. Regardless of etiology, the overall goals of management are primarily twofold. As a neurogenic bladder may affect the ability to store urine safely and to empty the bladder efficiently, early management is focused on optimization of bladder storage funct...
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