Journal of Pediatric Urology
Volume 3, Issue 3 , Pages 195-199 , June 2007

Can urodynamic studies be dispensed with in the initial urologic management of children with meningomyelocele? A study of 30 cases and review of the literature

  • Satish Chandra Mishra

      Affiliations

    • Specialist Surgery, NDMC Charak Palika Hospital, Moti Bagh I, New Delhi-110021, India
    • Corresponding Author InformationCorrespondence address: F-2, Old Doctors Flats, NDMC Hospital Campus, Moti Bagh I, New Delhi 110021, India. Tel.: +91 11 2412 2044, mobile: 09868303883.
    • Responsible for conception & design of the study, carrying out the work, compilation of results and preparing the manuscript.

Received 24 May 2006 ,Accepted 31 July 2006.

References 

  1. Hopps CV, Kropp KA. Preservation of renal function in children with meningomyelocele managed with basic newborn evaluation and close follow up. J Urol. 2003;169:305–308
  2. Geraniotis E, Koff SA, Enrile B. The prophylactic use of clean intermittent catheterization in the treatment of infants and young children with myelomeningocele and neurogenic bladder dysfunction. J Urol. 1988;139:85–86
  3. Klose AR, Sackett CK, Mesrobian HGR. Management of children with myelodysplasia: Urological alternatives. J Urol. 1990;144:1446–1449
  4. Teichman JM, Scherz HC, Kim KD, Cho DH, Packer MG, Kaplan GW. An alternative approach to myelodysplastic management: aggressive observation and prompt intervention. J Urol. 1994;152:807–811
  5. MacKinnon AE, Roberts JP, Searles J. Day-care ultrasound avoids urodynamics. Eur J Pediatr Surg. 2000;10:24–25
  6. Bors E. Neurogenic bladder. Urol Surv. 1957;7:177–250
  7. Kaefer M, Zurakowski D, Baur SB, Retik AB, Peters CA, Atala A, et al. Estimating normal bladder capacity in children. J Urol. 1997;158:2261–2264
  8. Bates P, Bradley WE, Glen E, Melchior H, Rowan D, Sterling AM, et al. Fourth report on the standardization of terminology of lower urinary tract function. Scand J Urol Nephrol 15:169–171 [See also Br J Urol 1981;53:333–335; Urology 1981;17:618–620].
  9. Edelstein RA, Bauer SB, Kelly MD, Darbey MM, Peters CA, Atala A, et al. The long term urologic response of neonates with myelodysplasia treated proactively with intermittent catheterization and anticholinergics therapy. J Urol. 1995;154:1500–1504
  10. Baur SB, Hallet M, Khoshbin S, Lebowitz RL, Winston KR, Gibson S, et al. Predictive value of urodynamic evaluation in newborns with myelodysplasia. JAMA. 1984;252:650–652
  11. Baur SB. The argument for early assessment and treatment of infants with spina bifida. Dialogues Pediatr Urol. 2000;23:2
  12. Lais A, Kasabian NG, Dyro FM, Scott RM, Kelly MD, Bauer SB. The neurosurgical implications of continuous neurourological surveillance of children with myelodysplasia. J Urol. 1993;150:1879–1883
  13. Snodgrass WT, Adams R. Initial urologic management of myelomeningocele. Urol Clin North Am. 2004;31:427–434
  14. Roach MB, Switters DM, Stone AR. The changing urodynamic pattern in infants with myelomeningocele. J Urol. 1993;150:944–947
  15. McGuire EJ, Woodside JR, Borden TA, Weiss RM. Prognostic value of urodynamic testing in myelodysplastic patients. J Urol. 1981;126:205–209
  16. Kasabian NG, Bauer SB, Dyro FM, Colodny AH, Mandell J, Retik AB. The prophylactic use of clean intermittent catheterization and anticholinergics medication in newborns and infants with myelodysplasia at risk of developing urinary tract deterioration. Am J Dis Child. 1992;146:840–843
  17. Joseph DB. The effect of medium fill and slow fill saline cystometry on detrusor pressure in infants and children with myelodysplasia. J Urol. 1992;147:444–446
  18. Decter DM, Harpster L. Pitfalls in determination of leak point pressure. J Urol. 1992;148:588–591

PII: S1477-5131(06)00160-4

doi: 10.1016/j.jpurol.2006.07.009

Journal of Pediatric Urology
Volume 3, Issue 3 , Pages 195-199 , June 2007

Article Tools

* Image Usage & Resolution