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Voiding disorders are common in patients with myelomeningocele (MMC) and are of great prognostic importance. We performed urodynamic-electromyographic measurements in 11 adolescent MMC patients who had undergone immediate postnatal surgery. None of our patients was able to urinate normally, and 9 suffered from some form of incontinence. The detrusor vesicae was hyper-reflexive in 6 patients and hypo-reflexive in 4. The bladder neck was never obstructive, but the striated sphincter was obstructive in 4. In 2 of these detrusor sphincter dyssynergy was found, and in 2 patients a non-relaxing sphincter was present. There was no correlation between the localization of the MMC and the type of dysfunction. The aim of any treatment of these disorders should be to prevent the development of vesico-ureteral reflux. Appropriate treatment requires the type of bladder dysfunction to be precisely known. Hence a urodynamic-electromyographic assessment should be performed in all MMC patients with voiding problems.
K M Rösler, and
G A Casanova, and
C W Hess, and
C Meier, and
H P Ludin
July 2009,
Journal of pediatric neurosciences,
K M Rösler, and
G A Casanova, and
C W Hess, and
C Meier, and
H P Ludin
February 2005,
BJU international,
K M Rösler, and
G A Casanova, and
C W Hess, and
C Meier, and
H P Ludin
January 2015,
Urologia internationalis,
K M Rösler, and
G A Casanova, and
C W Hess, and
C Meier, and
H P Ludin
August 1982,
Zeitschrift fur Urologie und Nephrologie,
K M Rösler, and
G A Casanova, and
C W Hess, and
C Meier, and
H P Ludin
January 2016,
Cirugia y cirujanos,
K M Rösler, and
G A Casanova, and
C W Hess, and
C Meier, and
H P Ludin
June 1991,
European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie,
K M Rösler, and
G A Casanova, and
C W Hess, and
C Meier, and
H P Ludin
February 1987,
Anales espanoles de pediatria,
K M Rösler, and
G A Casanova, and
C W Hess, and
C Meier, and
H P Ludin
December 1988,
Soins; la revue de reference infirmiere,
K M Rösler, and
G A Casanova, and
C W Hess, and
C Meier, and
H P Ludin
January 1973,
Developmental medicine and child neurology. Supplement,
K M Rösler, and
G A Casanova, and
C W Hess, and
C Meier, and
H P Ludin
January 1977,
Journal d'urologie et de nephrologie,
