The upper renal tracts in adolescents and young adults with myelomeningocele.
The state of the upper urinary tracts has been assessed in 181 adolescents and young adults with myelomeningocele. At the age of 16 years, abnormalities were present in 75 patients (41 per cent); the risk of these complications was related to the extent of the neurological deficit and the presence of a urinary diversion. During follow-up into early adult life, fresh or further deterioration of the upper renal tracts occurred in 48 patients (27 per cent); the pattern of this deterioration was influenced by whether or not previous urinary diversion had been performed.
D000293:Adolescent; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology; D007669:Kidney Calculi / Q000209:etiology; D007674:Kidney Diseases / Q000209:etiology*; D007676:Kidney Failure, Chronic / Q000209:etiology; D008297:Male; D008591:Meningomyelocele / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D012306:Risk; D014547:Urinary Diversion; D014549:Urinary Incontinence / Q000209:etiology