Urinary considerations for adult patients with spinal dysraphism
| Autor: | Paul W. Veenboer, Tom P.V.M. de Jong, Laetitia M.O. de Kort, Rafal Chrzan |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Urology Urinary system Urinary incontinence Disease End stage renal disease Lower Urinary Tract Symptoms Quality of life medicine Humans Urinary Bladder Neurogenic Urinary bladder business.industry Incidence (epidemiology) Surgery Spina Bifida Cystica Urodynamics Sexual dysfunction medicine.anatomical_structure Urinary Bladder Neoplasms Urinary Tract Infections Quality of Life Urinary Calculi medicine.symptom business |
| Zdroj: | Nature Reviews Urology. 12:331-339 |
| ISSN: | 1759-4820 1759-4812 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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