Urinary tract undiversion in a patient with an areflexic neurogenic bladder: management with intermittent catheterization.
Neurogenic bladder disease generally is though to be a contraindication to urinary undiversion. We describe a teenage boy who received an ileal conduit for an areflexic neurogenic bladder. He had a poor emotional reaction to the diversion and requested reconstruction. After extensive studies undiversion was done. The neurogenic bladder has been managed with intermittent catheterization. Thus far, the result has been quite satisfactory.
D000293:Adolescent; D002648:Child; D006801:Humans; D007082:Ileum / Q000601:surgery; D008297:Male; D009133:Muscular Atrophy / Q000150:complications; D016136:Spina Bifida Occulta / Q000150:complications; D014513:Ureter / Q000601:surgery; D014521:Urethra / Q000503:physiopathology; D001743:Urinary Bladder / Q000503:physiopathology; D001750:Urinary Bladder, Neurogenic / Q000503:physiopathology / Q000601:surgery / Q000628:therapy*; D014546:Urinary Catheterization; D014547:Urinary Diversion / Q000523:psychology