NEUROGENIC BLADDER DYSFUNCTION IN CHILDREN PROGRESS TO KIDNEY FAILURE IN ADOLESCENCE AND YOUNG AGE: PERSONALISED MENAGEMENT, REVIEW AND CASE SERIES | ||||
| Journal of the Egyptian Society of Parasitology | ||||
| Article 22, Volume 51, Issue 1, April 2021, Page 169-174 PDF (689.74 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/jesp.2021.165961 | ||||
 View on SCiNiTO | ||||
| Author | ||||
| Mohamed Wishahi | ||||
| Department of Urology, Theodor Bilharz Research Institute, Embaba P. O. Box 30, Giza, Egypt | ||||
| Abstract | ||||
| Newborn infants who had neurogenic bladder dysfunction (NBD) have a normal upper urinary tract. Most of them will develop deterioration of renal function, and chronic kidney disease in case they do not received proper management. Renal damage is due to high detrusor pressures resulted from poor compliance of the bladder, beside detrusor over-activity against a closed sphincter or detrusor sphincter dyssynergia. To preserve renal function and prevent deterioration of the kidneys, NBD must be treated immediately after being diagnosed. Over the last few years there was great progress in the treatment of children with the NBD. Neurogenic bladder dysfunction in children must be diagnosed early in life and the child should receive the proper management, neglecting the case or improper management would end with deleterious effect on the upper tract end with renal dysfunction and chronic kidney failure. There are different options for management. The type of management would be personalized for each case and could be modified. Case series were presented to illuminate the early management value of children with NBD in situation of unavailable of advanced methods of treatment. The different approaches for management including the recent approaches were reviewed. This case series elaborate the management of 24 Egyptian children with NBD and impairment of renal function. The children underwent cutaneous vesicostomy at early stages of the disease. The procedure was feasible and protected the kidney from deterioration tell adolescence. This procedure is feasible in limited hospital resources and/or low-middle income countries. | ||||
| Keywords | ||||
| Egyptian children; Neurogenic-bladder dysfunction; Kidney failure; Vesicostomy | ||||
|
Statistics Article View: 194 PDF Download: 233 |
||||
