[Current overview of the treatment of postmyelomeningocele neurogenic bladder].
OBJECTIVE
The present article reviews the current therapeutic modalities for neurogenic bladder secondary to myelomeningocele.


METHODS
The procedures utilized in the treatment of neurogenic bladder are described. The results achieved by the artificial urinary sphincter in 43 patients are presented.


RESULTS
Most of the patients were 8 to 20 years of age at the time the artificial urinary sphincter was implanted. A complementary surgical procedure was required in 11 patients and 10 have been included in the program of intermittent catheterization. Few complications have been observed.


CONCLUSIONS
The implantation of an artificial sphincter can enhance the quality of life of incontinent patients that meet the appropriate clinical and urodynamic criteria.
Marqués Queimadelos
A
A
Servicio de Urología, Hospital Clínico Universitario, Facultad de Medicina, Santiago de Compostela, La Coruña, España.
Monasterio Corral
L
L
Tato Rodríguez
J
J
Lema Grille
J
J
Ríos Tallón
L
L
Castro Gago
M
M
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D006801:Humans; D008591:Meningomyelocele / Q000150:complications*; D008875:Middle Aged; D001750:Urinary Bladder, Neurogenic / Q000209:etiology / Q000601:surgery*; D016741:Urinary Sphincter, Artificial