The spectrum of urological disease in patients with spina bifida.

Hdl Handle:
http://hdl.handle.net/10147/208960
Title:
The spectrum of urological disease in patients with spina bifida.
Authors:
Cahill, R A; Kiely, E A
Affiliation:
Department of Urology, Cork University Hospital, Ireland. cahillronan@hotmail.com
Citation:
Ir J Med Sci. 2003 Oct-Dec;172(4):180-4.
Journal:
Irish journal of medical science
Issue Date:
3-Feb-2012
URI:
http://hdl.handle.net/10147/208960
PubMed ID:
15029986
Abstract:
BACKGROUND: [corrected] Urological complications are the major cause of ill health during childhood and adult life of patients with spina bifida but the significance of urinary tract disease on the individual and the healthcare services is underemphasised. AIM: To assess the effects of spina bifida on the individual and the healthcare services. METHODS: A retrospective review was performed to assess the frequency and significance of urological conditions requiring hospital attendance in patients with spina bifida currently attending a specialised multidisciplinary clinic over a period of six months. RESULTS: Urinary sepsis accounted for the majority of admissions (62%), while 38 of 62 patients required 60 surgical procedures. Targeting the primary urological abnormality (the dysfunctional and usually poorly compliant bladder) allows implementation of effective treatments, including regular intermittent bladder catherisation (52%) in order to preserve upper renal tract function. Associated postural abnormalities complicated both conservative and interventional therapies. CONCLUSION: This study highlights the surgical commitment for units caring for patients with spina bifida, the important considerations for the future healthcare services, and the range and severity of urological diseases encountered by these patients.
Language:
eng
MeSH:
Adolescent; Adult; Child; Child, Preschool; Female; Hospitalization; Humans; Infant; Male; Middle Aged; Retrospective Studies; Spinal Dysraphism/*complications; Urologic Diseases/*epidemiology/etiology
ISSN:
0021-1265 (Print); 0021-1265 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorCahill, R Aen_GB
dc.contributor.authorKiely, E Aen_GB
dc.date.accessioned2012-02-03T15:08:32Z-
dc.date.available2012-02-03T15:08:32Z-
dc.date.issued2012-02-03T15:08:32Z-
dc.identifier.citationIr J Med Sci. 2003 Oct-Dec;172(4):180-4.en_GB
dc.identifier.issn0021-1265 (Print)en_GB
dc.identifier.issn0021-1265 (Linking)en_GB
dc.identifier.pmid15029986en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208960-
dc.description.abstractBACKGROUND: [corrected] Urological complications are the major cause of ill health during childhood and adult life of patients with spina bifida but the significance of urinary tract disease on the individual and the healthcare services is underemphasised. AIM: To assess the effects of spina bifida on the individual and the healthcare services. METHODS: A retrospective review was performed to assess the frequency and significance of urological conditions requiring hospital attendance in patients with spina bifida currently attending a specialised multidisciplinary clinic over a period of six months. RESULTS: Urinary sepsis accounted for the majority of admissions (62%), while 38 of 62 patients required 60 surgical procedures. Targeting the primary urological abnormality (the dysfunctional and usually poorly compliant bladder) allows implementation of effective treatments, including regular intermittent bladder catherisation (52%) in order to preserve upper renal tract function. Associated postural abnormalities complicated both conservative and interventional therapies. CONCLUSION: This study highlights the surgical commitment for units caring for patients with spina bifida, the important considerations for the future healthcare services, and the range and severity of urological diseases encountered by these patients.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshChilden_GB
dc.subject.meshChild, Preschoolen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHospitalizationen_GB
dc.subject.meshHumansen_GB
dc.subject.meshInfanten_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.meshSpinal Dysraphism/*complicationsen_GB
dc.subject.meshUrologic Diseases/*epidemiology/etiologyen_GB
dc.titleThe spectrum of urological disease in patients with spina bifida.en_GB
dc.contributor.departmentDepartment of Urology, Cork University Hospital, Ireland. cahillronan@hotmail.comen_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceMunster-

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