title: [Bladder and bowel function in children with congenital spinal lipomatus malformations. A retrospective study of 114 cases].
abstract: OBJECTIVE
  To clarify bladder and bowel function of children with lipomas of the conus, without, before and after neurosurgery.
  
  
  METHODS
  Retrospective analysis of 114 children with a lipomas of the conus, followed in our pediatric neuro-urology department from 1993 to 2010. Several data were collected: bladder and bowel symptoms, bladder and anorectal continence, neurosurgical indication and age, clinical modification after neurosurgery, investigations carried out in pre- and post-surgery treatment, associated bladder and bowel treatment.
  
  
  RESULTS
  Forty-nine of the 77 children (63.6%) operated on had never been seen before surgery in our neuro-urology department. Seventy-seven children (67.5%) underwent a neuro-surgery, 60% indicated due to a neurogenic bladder. Before neurosurgery, 66 children (85.7%) had spontaneous miction. Five children (6.5%) had bladder intermittent catheterization. Forty of these patients (56.3%) were continent. After neurosurgery and a specialized consultation in neuro-urology, 54 children (70.1%) were continent. Thirty-seven children (48%) had spontaneous miction. Thirty-seven children (48%) had bladder intermittent catheterization and drug of overactive detrusor. Fifty-two children (67.5%) were constipated after surgery. Seventy-seven percent of the treatments for bowel symptoms were effective in terms of continence.
  
  
  CONCLUSIONS
  The existence of a neurogenic bladder was one of the main indications for neurosurgery. These results suggest that the complexity of care requires neurosurgical, urological surgeon and neuro-urology physician to achieve the explorations and urinary and digestive treatment in order to preserve renal function and both continences.
authors.affiliation: Unité pédiatrique de médecine physique et de réadaptation, université Pierre-et-Marie-Curie, hôpitaux universitaires Paris Est Trousseau-La Roche-Guyon, 26, avenue du Docteur-Arnold-Netter, 75012 Paris, France.
authors.forename: A
authors.initials: A
authors.lastname: Guinet
authors.forename: G
authors.initials: G
authors.lastname: Audry
authors.forename: M
authors.initials: M
authors.lastname: Zerah
authors.forename: V
authors.initials: V
authors.lastname: Forin
mesh_terms: D002648:Child; D003248:Constipation / Q000209:etiology; D005242:Fecal Incontinence / Q000209:etiology; D005260:Female; D006801:Humans; D008067:Lipoma / Q000150:complications* / Q000151:congenital / Q000601:surgery; D008297:Male; D011183:Postoperative Complications; D012189:Retrospective Studies; D016135:Spinal Dysraphism / Q000209:etiology / Q000601:surgery*; D013125:Spinal Neoplasms / Q000150:complications* / Q000151:congenital / Q000601:surgery; D001750:Urinary Bladder, Neurogenic / Q000209:etiology*; D014546:Urinary Catheterization; D014554:Urination; D014555:Urination Disorders / Q000209:etiology