The unrecognized neuropathic bladder of infancy.
Four infants presented with hydroureteronephrosis and incomplete emptying of the bladder secondary to detrusor-sphincter dyssynergia. None of the patients had other signs suggestive of neurological dysfunction. It is presumed but not proved that these infants manifested a urodynamic reaction in response to a perinatal insult involving the brainstem area. Long-term followup has demonstrated a persistent but nonprogressive neurourological disturbance.
Bauer
S B
SB
Division of Urology, Childrens Hospital, Boston, Massachusetts.
Dyro
F M
FM
Krarup
C
C
Colodny
A H
AH
Mandell
J
J
Retik
A B
AB
D004576:Electromyography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D013997:Time Factors; D001750:Urinary Bladder, Neurogenic / Q000150:complications / Q000175:diagnosis*; D014563:Urodynamics; D014567:Urography