[Vesico-ureteral reflux in patients with neurogenic bladder dysfunction: causes, types, treatment, development and results].
Thirty one patients, suffering from vesicoureteral reflux, were selected from a group of 106 children affected by neurogenic bladder dysfunction. The causes of neurogenic dysfunction (26 a sequel of spina bifida, 2 agenesis of sacrum and 3 medullar tumors) and grade and type of reflux in the 47 reno-ureteral units (I, 4; II, 20; III, 6; IV, 11, and V, 6) are described. The treatment was medical, combining different bladder expression methods, in 11 ureters, medical plus intermittent catheterization in 36 and surgical in 14. The analysis of the results were: Satisfactory because of complete cure or improvement of the reflux in 35 ureters, un satisfactory in 5 (3 patient died and 2 were diverted and indeterminate in the other 7, whose reflux remained unchanged whose follow up was too short.
Unidad de Espinas Bifidas, Hospital San Juan de Dios, Barcelona.
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Rodó Salas
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Costa
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Escolá
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D001750:Urinary Bladder, Neurogenic / Q000150:complications*; D014546:Urinary Catheterization; D014547:Urinary Diversion; D014567:Urography; D014718:Vesico-Ureteral Reflux / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy
Reflujo vesicoureteral en pacientes afectos de disfunción vesical neurogénica: causas, tipos, tratamiento, evolución y resultados.