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13.08.2018 | Topic Paper | Ausgabe 10/2018

World Journal of Urology 10/2018

The urological management of children with spinal cord injury

Zeitschrift:
World Journal of Urology > Ausgabe 10/2018
Autoren:
Jairam R. Eswara, Miguel Castellan, Ricardo González, Nicolas Mendieta, Marc Cendron
Wichtige Hinweise
This work represents the efforts of the SIU–ICUD joint consultation on the Urological Management of Children with Spinal Cord Injuries. The workgroup assembled for this topic surveyed the literature regarding spinal cord injuries among the pediatric population, and the results are presented herein.

Abstract

Background

The urologic management of children with spinal cord injury (SCI) differs from that of the adult insofar as the care involves a developing organ system and will be ongoing for years. Preservation of renal function as well as prevention of urinary tract infection in concert with both bladder and bowel continence are the essential guiding principles.

Methods

This is a non-systematic review of the literature and represents expert opinion where data are non-existent. This review focuses on special considerations in children with spinal cord injuries.

Results

SCI in children is less frequent than in adults and affects mainly older children and teenagers. The etiology of SCI in children is usually motor vehicle accidents. The cervical spine is often injured. The urologic evaluation is similar to that for adults but may involve more frequent radiologic and urodynamic assessment to monitor renal function as the child grows.

Conclusions

Treatment may be divided into medical vs. surgical and mirrors the approach to children who have a neurogenic bladder due to spina bifida. Bladder management should be associated with bowel management to achieve the goals of continence and social acceptability.

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