作者: Jack S. Elder , Timothy B. Mapstone , Andrew A. Selzman
DOI: 10.1016/S0094-0143(21)00510-3
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摘要: SUMMARY Spina bifida and other congenital abnormalities of the spinal cord are relatively common (1 per 1000 births). Early urologic evaluation to determine extent neurologic involvement lower urinary tract is essential. Urodynamic studies important in determining voiding pressure leak classifying type detrusor sphincter dysfunction. Therapy directed toward preservation upper tracts. Many nonsurgical (clean intermittent catheterization anticholinergic drugs) surgical procedures allow child be continent maintain a normal tract. The importance follow-up stressed because neurourologic changes frequently occur, prompt treatment or change therapy Today, children with spina leading healthy, productive lives. A continued multidisciplinary approach their care important.