Poor compliance early in filling in the neuropathic bladder.
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.
Weston
P M
PM
Department of Urology, Royal Infirmary, Cardiff.
Robinson
L Q
LQ
Williams
S
S
Thomas
M
M
Stephenson
T P
TP
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