Bladder function in congenital non-cystic spinal abnormalities
Scott, J.E.
Chirurgie Pediatrique 23(5): 348-352
1982
ISSN/ISBN: 0180-5738 PMID: 6756659 Document Number: 183385
Disturbances of bladder function in 11 children with congenital non-cystic spinal anomalies are described. The spinal anomalies were divided into 2 groups, segmental and dysraphic. The segmental group comprised 6 children with sacral agenesis : their bladder disturbance was characterised by incontinence without bladder distension. The dysraphic group contained 5 children who had lesions such as intra thecal lipomata or severe kypho-scoliosis : they had incontinence due to retention with overflow. Manometric studies of the bladder and urethra were helpful in differentiating the types of functional disturbance. In some children incontinence improved spontaneously, others were helped by pharmacological agents or by intermittent catheterisation.