One of the most challenging subjects of pediatric urology is, without a doubt, urinary
incontinence in children with neuropathic bladder. Urinary incontinence in neuropathic
bladders may be related to a single factor or a combination of different factors such
as sphincteric incompetency, detrusor overactivity and low bladder compliance/capacity.
Accordingly, there are different strategies along with clean intermittent catheterization
starting with anticholinergics, beta 3 agonists and followed by bladder neck injection,
intravesical botulinum toxin injection, and procedures increasing bladder outlet resistance
and/or bladder augmentation when the previous treatments fail.
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Reference
- Simultaneous bladder augmentation and artificial urinary sphincter placement in children with neuropathic urinary incontinence. Is it safe to perform? Long-term results.J Pediatr Urol. 2023; (S1477-5131(23)00027-X https://doi.org/10.1016/j.jpurol.2023.01.019. Epub ahead of print. PMID: 36813690)
Article info
Publication history
Published online: February 22, 2023
Accepted:
February 8,
2023
Received:
February 8,
2023
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
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- Simultaneous bladder augmentation and artificial urinary sphincter placement in children with neuropathic urinary incontinence. Is it safe to perform? Long-term resultsJournal of Pediatric Urology
- Response to Commentary re Simultaneous bladder augmentation and artificial urinary sphincter placement in children with neuropathic urinary incontinence. Is it safe to perform? Long-term resultsJournal of Pediatric Urology