Continuing Medical Education
The paediatric neuropathic bladder
Abstract
Paediatric neuropathic bladder dysfunction can cause irreversible renal damage and urinary incontinence. Aetiologically, this condition is usually caused by a congenital neural tube defect. The majority of affected children can be successfully managed with the standard medical treatment of clean intermittent catheterisation and anticholinergic medication (typically oxybutynin). A small subset of patients who receive oral oxybutynin experience severe side-effects or insufficient suppression of detrusor overactivity. This group may require alternative medical or surgical management.
Author's affiliations
John Lazarus, Division of Urology, Red Cross War Memorial Children’s Hospital, University of Cape Town, South Africa
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Date published: 2014-02-13
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