Urinary Considerations for Adult Patients with Spinal Dysraphism

Overview

Journal Nat Rev Urol

Specialty Urology

Date 2015 May 13

PMID 25963964

Citations 5

Authors

Paul W Veenboer

Laetitia M O de Kort

Rafal J Chrzan

Tom P V M de Jong

Affiliations

Soon will be listed here.

Abstract

The incidence of newborns with spinal dysraphism is diminishing worldwide, although survival of individuals with this condition into adulthood continues to improve. The number of adults with spinal dysraphism will, therefore, increase in the coming years, which will pose new challenges in patient management. Urological manifestations of spinal dysraphism can include increased risks of urinary incontinence, urinary tract infection, urinary calculi, sexual dysfunction, end-stage renal disease and iatrogenic metabolic disturbances; however, the severity and incidence of these symptoms varies substantially between patients. Owing to the presence of multiple comorbidities, treatment and follow-up protocols often have to be adapted to best suit the needs of specific patients. Authors describe bladder and kidney function and long-term complications of treatments initiated in childhood, as well as the potential for improvements in quality of life through better follow-up schedules and future developments.

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