|Year : 1998 | Volume
| Issue : 1 | Page : 10-14
Urodynamic patterns in spina bifida : Classification, Comparison and the need for international Consensus.
SJ Karmarkar, PB Muthal, BK Kulkarni
Spina Bifida Clinic Department of Pediatric Surgery, LTMG, Hospital & Medical College Sion, Mumbai-400022, India
ABSTRACT: Urodynamic studies play an important role in the proper urological management of Spina Bifida patients. We present our experience with the aim of identifying the different urodynamic groups and their prognostic implications. The paper also highlights the problems arising when comparisons between similar reports are to be made. 31 cases of Spina bifida underwent complete urological evaluation including urodynamic testing. Depending on the types of detrusor and sphincter activity these patients could be categorised into 6 urodynamic groups. The treatment and outcome was then analysed for each group. Outcomes were assessed in terms of 'dryness achieved' and 'preservation of renal function'. Our groups and their urodynamic features were then compared with other similar reports. This paper suggests a urodynamic classification of urinary bladder in Spina bifida. The need for a consensus on urodynamic terminology, procedures and interpretation is emphasized.
Spina Bifida Clinic Department of Pediatric Surgery, LTMG, Hospital & Medical College Sion, Mumbai-400022
Source of Support: None, Conflict of Interest: None
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