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Tratamiento del reflujo vesicoureteral en niños con mielomeningocele


González, R; Ludwikowski, B (2008). Tratamiento del reflujo vesicoureteral en niños con mielomeningocele. Archivos españoles de urología, 61,02(2):208-212.

Abstract

OBJECTIVES: To perform a bibliographic review on the topic of vesicoureteral reflux (VUR) in children with myelomeningocele. METHODS: PubMed search using the terms: vesicoureteral reflux and myelomeningocele. RESULTS: Between 1981 and 2007 340 articles were found, 61 of which were considered adequate, and 48 were used as references for this monographic issue. We discuss the pathogenesis of VUR in neurogenic bladder, the efficacy of conservative treatment with clean intermittent catheterization and anticholinergic drugs, as well as the indications and efficacy of various surgical procedures including ureteral reimplantation, subureteral injection of various agents, bladder augmentation, cutaneous vesicostomy, urethral dilation, transureteral-ureterostomy and botulin toxin injection. CONCLUSIONS: Vesicoureteral reflux plays an important role in the development of renal damage in infants and children with congenital myelomeningocele. Nephropathy may be prevented with adequate evaluation and follow-up and timely therapeutic intervention. Renal failure in these patients always reflects the failure of medical care or social/socioeconomic conditions.

Abstract

OBJECTIVES: To perform a bibliographic review on the topic of vesicoureteral reflux (VUR) in children with myelomeningocele. METHODS: PubMed search using the terms: vesicoureteral reflux and myelomeningocele. RESULTS: Between 1981 and 2007 340 articles were found, 61 of which were considered adequate, and 48 were used as references for this monographic issue. We discuss the pathogenesis of VUR in neurogenic bladder, the efficacy of conservative treatment with clean intermittent catheterization and anticholinergic drugs, as well as the indications and efficacy of various surgical procedures including ureteral reimplantation, subureteral injection of various agents, bladder augmentation, cutaneous vesicostomy, urethral dilation, transureteral-ureterostomy and botulin toxin injection. CONCLUSIONS: Vesicoureteral reflux plays an important role in the development of renal damage in infants and children with congenital myelomeningocele. Nephropathy may be prevented with adequate evaluation and follow-up and timely therapeutic intervention. Renal failure in these patients always reflects the failure of medical care or social/socioeconomic conditions.

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Other titles:The treatment of vesicoureteral reflux in children with myelomeningocele
Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Children's Hospital Zurich > Clinic for Surgery
Dewey Decimal Classification:610 Medicine & health
Language:Spanish
Date:2008
Deposited On:11 Feb 2009 17:24
Last Modified:05 Apr 2016 12:54
Publisher:Bok S. A.
Series Name:l
Number of Pages:208
ISSN:0004-0614
Official URL:http://www.arch-espanoles-de-urologia.es/?pagina=sumarios_numerobus&i=61-02
PubMed ID:18491736

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