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    The spectrum of urological disease in patients with spina bifida.

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    Authors
    Cahill, R A
    Kiely, E A
    Affiliation
    Department of Urology, Cork University Hospital, Ireland. cahillronan@hotmail.com
    Issue Date
    2012-02-03T15:08:32Z
    MeSH
    Adolescent
    Adult
    Child
    Child, Preschool
    Female
    Hospitalization
    Humans
    Infant
    Male
    Middle Aged
    Retrospective Studies
    Spinal Dysraphism/*complications
    Urologic Diseases/*epidemiology/etiology
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    Citation
    Ir J Med Sci. 2003 Oct-Dec;172(4):180-4.
    Journal
    Irish journal of medical science
    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
    ISSN
    0021-1265 (Print)
    0021-1265 (Linking)
    Collections
    Cork University Hospital

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