Neurogenic bladder and anorectal malformations
Pediatric Neurogenic Bladder Dysfunction: Diagnosis, Treatment, Long-Term Follow-up
Neurogenic bladder is expected to occur in a significant number of patients who are horn with anorectal malformations, mainly for two reasons: 1. The overwhelming majority of cases have the rectum in a fistulous communication with the genitourinary tract The repair of the malformation, in the great majority of cases, requires, as a mandatory step, to separate the rectum from those structures, with the consequent risk of injury to the genitourinary structures, or the nerves that innervate them. 2. Anorectal malformation cases also have a tendency to suffer from different congenital defects of the spinal cord. These defects include hemivertebra, a defect called tethered cord, different degrees of sacral anomalies, and myelomeningocele. All degrees of these spinal cord anomalies may occur, and therefore the degree of neurological deficit affecting the bladder in these patients may he represented by a spectrum of dysfunctions of the urinary tract; therefore, we believe it is important to discuss the problem of neurogenic bladder and anorectal malformations in two different categories, as well as to separate males from females into the following groups: (a) patients without spinal cord anomalies; and (b) patients with spinal cord anomalies.
Peña, A., & Levitt, M. (2006). Neurogenic bladder and anorectal malformations. Pediatric Neurogenic Bladder Dysfunction: Diagnosis, Treatment, Long-Term Follow-up, (). http://dx.doi.org/10.1007/3-540-30867-9_10