ERIC Number: EJ889585
Record Type: Journal
Publication Date: 2010
Abstractor: As Provided
Reference Count: 72
Urologic Management of Spina Bifida
Clayton, Douglass B.; Brock, John W., III; Joseph, David B.
Developmental Disabilities Research Reviews, v16 n1 p88-95 2010
The urologist plays an important role in the multidisciplinary team of physicians who provide care for patients with spina bifida. We review common strategies for managing the urinary tract in these patients. The primary objective in all phases of life is protecting kidney function by minimizing bladder hostility and establishing a good capacity, low-pressure urinary reservoir. Ensuring adequate bladder and bowel continence is also paramount for enhancing self-esteem and independence. Medical therapy incorporating clean intermittent catheterization and antimuscarinic medication is the cornerstone of neurogenic bladder management and often the only intervention required to achieve the above goals. Others may require formal lower urinary tract reconstruction to prevent urinary tract deterioration. As will be shown, current management, while effective, is not supported by strong evidence based protocols; and the impact of any intervention upon quality of life, while subjectively seen as positive, does not have objective validation. These limitations are recognized and currently the subject of urologic investigation.
Descriptors: Medical Services, Intervention, Physicians, Quality of Life, Congenital Impairments, Patients, Interdisciplinary Approach, Physical Health, Hygiene, Prenatal Care, Surgery, Interpersonal Relationship
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A