title: Poor compliance early in filling in the neuropathic bladder.
abstract: A total of 30 patients with known neuropathy, mostly spina bifida, developed poor bladder compliance early in filling demonstrated urodynamically; 20 had bilateral hydronephrosis at the time of presentation and 5 also had severely impaired renal function. After appropriate treatment all of those with normal upper tracts or with bilateral hydronephrosis but normal renal function stabilised or improved. However, all 5 with severely impaired renal function progressed to end-stage renal failure. Poor compliance early in filling is an absolute indication for surgical intervention.
authors.affiliation: Department of Urology, Royal Infirmary, Cardiff.
authors.forename: P M
authors.initials: PM
authors.lastname: Weston
authors.forename: L Q
authors.initials: LQ
authors.lastname: Robinson
authors.forename: S
authors.initials: S
authors.lastname: Williams
authors.forename: M
authors.initials: M
authors.lastname: Thomas
authors.forename: T P
authors.initials: TP
authors.lastname: Stephenson
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003187:Compliance; D006801:Humans; D006869:Hydronephrosis / Q000150:complications; D008875:Middle Aged; D016136:Spina Bifida Occulta / Q000150:complications / Q000503:physiopathology*; D001743:Urinary Bladder / Q000503:physiopathology*; D014563:Urodynamics