[Urological problems in patients with meningomyelocele. Diagnostic studies and management]
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[Urological problems in patients with meningomyelocele. Diagnostic studies and management]. / Stein, R; Schröder, A; Beetz, R; Ermert, A; Filipas, D; Fisch, Margit; Goepel, M; Körner, I; Schönberger, B; Sparwasser, C; Stöhrer, M; Thüroff, J W.
in: UROLOGE, Jahrgang 46, Nr. 12, 12, 2007, S. 1620-1642.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - [Urological problems in patients with meningomyelocele. Diagnostic studies and management]
AU - Stein, R
AU - Schröder, A
AU - Beetz, R
AU - Ermert, A
AU - Filipas, D
AU - Fisch, Margit
AU - Goepel, M
AU - Körner, I
AU - Schönberger, B
AU - Sparwasser, C
AU - Stöhrer, M
AU - Thüroff, J W
PY - 2007
Y1 - 2007
N2 - Since the 1980s the management of children and adolescents with meningomyelocele has undergone major changes. The introduction of pharmacotherapy with antimuscarinic agents, clean intermittent catheterization (CIC) and antibacterial prophylaxis has revolutionized the management of children with neurogenic bladder. The co-operation between neonatologists, neurosurgeons, paediatric neurologists, paediatricians, paediatric urologists, paediatric nephrologists, paediatric orthopaedists and paediatric surgeons is necessary to achieve an optimized therapy in each individual patient.In this interdisciplinary consensus paper we provide definitions and classifications as well as a timetable for the appropriate investigations. The conservative and surgical options are explained in detail. A short review is given concerning orthopaedic management, incidence of latex allergy, options for bowel management, diagnosis and treatment of urinary tract infections, problems with sexuality and fertility as well as the long-term compliance of these patients and their relatives.
AB - Since the 1980s the management of children and adolescents with meningomyelocele has undergone major changes. The introduction of pharmacotherapy with antimuscarinic agents, clean intermittent catheterization (CIC) and antibacterial prophylaxis has revolutionized the management of children with neurogenic bladder. The co-operation between neonatologists, neurosurgeons, paediatric neurologists, paediatricians, paediatric urologists, paediatric nephrologists, paediatric orthopaedists and paediatric surgeons is necessary to achieve an optimized therapy in each individual patient.In this interdisciplinary consensus paper we provide definitions and classifications as well as a timetable for the appropriate investigations. The conservative and surgical options are explained in detail. A short review is given concerning orthopaedic management, incidence of latex allergy, options for bowel management, diagnosis and treatment of urinary tract infections, problems with sexuality and fertility as well as the long-term compliance of these patients and their relatives.
M3 - SCORING: Zeitschriftenaufsatz
VL - 46
SP - 1620
EP - 1642
JO - UROLOGE
JF - UROLOGE
SN - 0340-2592
IS - 12
M1 - 12
ER -
