[Follow up of urinary tract problems in adults with myelomeningocele].
BACKGROUND
More than 90% of persons with myelomeningocele have a neurogenic bladder disturbance with incontinence and risk of upper urinary tract deterioration. Both aspects need to be considered when planning treatment and follow-up.


METHODS
The study is based on review of articles and clinical experience.


RESULTS
A thorough examination of the patient's voiding methods and incontinence is necessary. Examinations for renal function, reflux and hydroureteronephrosis as well as cystometry should also be carried out. The results of such examinations, together with an assessment of the patient's motor and cognitive function, as well as motivation, will provide a basis for further treatment and follow-up. We suggest a flow-chart for treatment and follow-up of persons above 16 years of age with myelomeningocele.


CONCLUSIONS
Patients with myelomeningocele should have a thorough examination and an individual plan for treatment and follow-up of their urinary tract dysfunction. Depending on the pathological findings, routine follow-up should be in done intervals from six months to five years.
Glott
T
T
Forskningsenheten Sunnaas sykehus 1450 Nesoddtangen. thomas.glott@sunnaas.no
Stanghelle
J K
JK
Rand-Hendriksen
S
S
Thyberg
M
M
Melhus
M
M
Brabrand
K
K
Fjeld
J G
JG
Bakke
A
A
D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D007677:Kidney Function Tests; D008591:Meningomyelocele / Q000150:complications* / Q000503:physiopathology; D001750:Urinary Bladder, Neurogenic / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D014547:Urinary Diversion; D014549:Urinary Incontinence / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D016476:Urinary Reservoirs, Continent; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology