title: Neuropathic bladder in the neonate.
abstract: The management of infants born with myelomeningocele depends on understanding how their bladder stores and empties urine. Storage at low pressure with effective emptying periodically throughout the day is the goal. Intervention is designed to impact on one or both of these processes so that infants can remain infection-free and at the same time allow for appropriate renal growth over time. Urodynamic evaluation plays an important role, so that neonates can be stratified according to their risk. Most patients require intermittent catheterization and pharmacotherapy to achieve these goals at some point in their lives.
authors.affiliation: Division of Urology, The Children's Hospital of Philadelphia, 3rd Flr Wood Center, 34th Street & Civic Center Boulevard, Philadelphia, PA 19104, USA. Electronic address: Carr@email.chop.edu.
authors.forename: Michael C
authors.initials: MC
authors.lastname: Carr
mesh_terms: D003950:Diagnostic Techniques, Urological; D019468:Disease Management; D014943:Global Health; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D001750:Urinary Bladder, Neurogenic / Q000151:congenital / Q000175:diagnosis / Q000453:epidemiology
keywords: Detrusor external sphincter dyssynergy; Myelomeningocele; Spina bifida; Urodynamics