The role of urethral dilation in managing pediatric neurogenic bladder dysfunction

被引:0
作者
Wan J. [1 ]
机构
[1] Department of Urology, University of Michigan, Ann Arbor, MI, 48109, 3875 Taubman 0330
关键词
Lower Urinary Tract Symptom; Neurogenic Bladder; Anticholinergic Medication; Clean Intermittent Catheterization; Leak Point Pressure;
D O I
10.1007/s11884-008-0020-9
中图分类号
学科分类号
摘要
Urethral dilation is an effective method of treating children with neurogenic bladders who have poor bladder compliance, high leak point pressure, and are unresponsive to standard therapy with anticholinergic medications and clean intermittent catheterization. Urethral dilation can be successfully applied to boys and girls and has few side effects. There are no demonstrated long-term effects on continence. However, the use of urethral dilation has been limited by two factors: 1) general disregard given to urethral dilation when applied to children and adults with recurrent urinary tract infections and lower urinary tract symptoms, and 2) the general efficacy of conventional therapy that limits the number of children who may actually benefit from the procedure. © 2008 Springer Science+Business Media, LLC.
引用
收藏
页码:127 / 132
页数:5
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