Speciality
Spotlight

 




 

Urology

  

 




Spina Bifida

    

  • LB Johnston, M Borzyskowski [ Guy’s Hosp, London]


    Bladder Dysfunction and Nerurological disability at Presentation in Closed Spina Bifida


    Arch Dis Child 79 : 33-38, 1998 

        


    Conclusion – These children often present late because clinical signs are missed or absent. Neither the voiding history not the neurological examination are predictive of bladder function. A normal neurologic evaluation does not specifically exclude significant bladder function abnormalities and upper tract deterioration. When the children are still in diapers, it is difficult to assess bladder and bowel function. All children with closed spina bifida should have an upper tract and urodynamic evaluation.

       

  • JA
    Vroege, Zeijllemaker BYW, MM Scheers [ Leiden Univ, The Netherlands; Netherlands Inst of social sexological Research, Utrecht; Utrecht Univ Hosp, The Netherlands]


    Sexual Functioning of adult Patients Born with Meningomyelocele : A Pilot study


    Eur Urol 34 : 25-29, 1998

       


    Conclusions – As the management of urologic, orthopedic, neurologic and pulmonary disabilities improves, a large proportion of the spina bifida population is reaching the age of sexual activity. 

       


    This pilot study shows a strong interest in sex among adults with spina bifida and two-thirds were sexually active.

       


    The major impediments to intimacy in this group are bowel and bladder incontinence. Erectile dysfunction was uncommon among males.

       


    Some patients may require additional information regarding sexual function and specific help to overcome physical and emotional obstacles.

         

  • JL Pippi Salle, G Capolicchio, A-M Houle, et al [McGill Univ, Montreal]


    Magnetic Resonance Imaging in Children with Voiding Dysfunction : Is it Indicated ?


    J Urol 160: 1080-1083, 1998

       


    Conclusions – Although the majority of children in this series had abnormal urodynamic evaluations, all the children had normal clinical orthopedic and neurological assessments.

        


    Spina bifida occulta was detected on plain films of the spine in 70% of children, but only 1 child with a complex skeletal abnormality had a tethered cord and lipoma detected that required surgical intervention. Lumbosacral MRI is of limited use in the subset of patients with a normal neuro-orthopedic assessment.

         

 



 

  

Speciality Spotlight

 

 
Urology
  

 

Spina Bifida
    

  • LB Johnston, M Borzyskowski [ Guy’s Hosp, London]
    Bladder Dysfunction and Nerurological disability at Presentation in Closed Spina Bifida
    Arch Dis Child 79 : 33-38, 1998 
        
    Conclusion – These children often present late because clinical signs are missed or absent. Neither the voiding history not the neurological examination are predictive of bladder function. A normal neurologic evaluation does not specifically exclude significant bladder function abnormalities and upper tract deterioration. When the children are still in diapers, it is difficult to assess bladder and bowel function. All children with closed spina bifida should have an upper tract and urodynamic evaluation.
       

  • JA Vroege, Zeijllemaker BYW, MM Scheers [ Leiden Univ, The Netherlands; Netherlands Inst of social sexological Research, Utrecht; Utrecht Univ Hosp, The Netherlands]
    Sexual Functioning of adult Patients Born with Meningomyelocele : A Pilot study
    Eur Urol 34 : 25-29, 1998
       
    Conclusions – As the management of urologic, orthopedic, neurologic and pulmonary disabilities improves, a large proportion of the spina bifida population is reaching the age of sexual activity. 
       
    This pilot study shows a strong interest in sex among adults with spina bifida and two-thirds were sexually active.
       
    The major impediments to intimacy in this group are bowel and bladder incontinence. Erectile dysfunction was uncommon among males.
       
    Some patients may require additional information regarding sexual function and specific help to overcome physical and emotional obstacles.
         

  • JL Pippi Salle, G Capolicchio, A-M Houle, et al [McGill Univ, Montreal]
    Magnetic Resonance Imaging in Children with Voiding Dysfunction : Is it Indicated ?
    J Urol 160: 1080-1083, 1998
       
    Conclusions – Although the majority of children in this series had abnormal urodynamic evaluations, all the children had normal clinical orthopedic and neurological assessments.
        
    Spina bifida occulta was detected on plain films of the spine in 70% of children, but only 1 child with a complex skeletal abnormality had a tethered cord and lipoma detected that required surgical intervention. Lumbosacral MRI is of limited use in the subset of patients with a normal neuro-orthopedic assessment.
         

 

 

By |2022-07-20T16:43:38+00:00July 20, 2022|Uncategorized|Comments Off on Spina Bifida

About the Author: