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Commentary to ‘Simultaneous bladder augmentation and artificial urinary sphincter placement in children with neuropathic urinary incontinence. Is it safe to perform? Long-term results'

  • M. İrfan Dönmez
    Correspondence
    Correspondence to: M.rfan Dönmez, Istanbul University Istanbul Faculty of Medicine, Department of Urology, Division of Pediatric Urology, Istanbul, Turkey
    Affiliations
    Istanbul University Istanbul Faculty of Medicine, Department of Urology, Division of Pediatric Urology, Istanbul, Turkey
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Published:February 22, 2023DOI:https://doi.org/10.1016/j.jpurol.2023.02.010
      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

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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 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)

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