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. 1977 Sep;52(9):703–707. doi: 10.1136/adc.52.9.703

Urinary continence in open myelomeningocele.

R J Brereton, R B Zachary, J Lister
PMCID: PMC1544740  PMID: 921319

Abstract

In a consecutive series of 200 neonates having undergone surgery for open myelomeningocele, 24 of the 106 survivors at 10 to 12 years of age proved to be continent of urine. These figures included 11 children who had considerable neurological involvement. 4 children did not acquire urinary control until after the age of 5 years. Therefore, we consider early urinary diversion in children with myelomeningocele, even in the presence of neurological deficit, to be indicated only for the prevention of progressive deterioration in renal function. Incontinence of urine itself is not an indication for urinary diversion in the first decade of life.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Burns R. The assessment of school placement in children suffering from encephalocele and meningomyelocele in the city of Liverpool. Dev Med Child Neurol. 1967;(Suppl):23–29. doi: 10.1111/j.1469-8749.1967.tb02379.x. [DOI] [PubMed] [Google Scholar]
  2. Cook R. C., Lister J., Zachary R. B. Operative management of the neurogenic bladder in children: diversion through intestinal conduits. Surgery. 1968 May;63(5):825–831. [PubMed] [Google Scholar]
  3. De Sanctis P. N., Lattimer J. K. Management of meningomyelocele. Plea for earlier urologic consultation. Urology. 1974 Apr;3(4):421–424. doi: 10.1016/s0090-4295(74)80153-6. [DOI] [PubMed] [Google Scholar]
  4. Duthie E. J., Stark G. D. Catheters for continence: a preliminary report on their trial in myelomeningocele. Dev Med Child Neurol. 1974 Dec;16(6 Suppl 32):31–37. doi: 10.1111/j.1469-8749.1974.tb03446.x. [DOI] [PubMed] [Google Scholar]
  5. Forrest D. M. The use of the Foley catheter for long-term urine collection in girls. Dev Med Child Neurol. 1974 Dec;16(6 Suppl 32):54–57. doi: 10.1111/j.1469-8749.1974.tb03450.x. [DOI] [PubMed] [Google Scholar]
  6. Levin G. D. Functional evaluation of eighteen adult myelomeningocele patients. Clin Orthop Relat Res. 1974 May;(100):101–107. [PubMed] [Google Scholar]
  7. Lorber J. Results of treatment of myelomeningocele. An analysis of 524 unselected cases, with special reference to possible selection for treatment. Dev Med Child Neurol. 1971 Jun;13(3):279–303. [PubMed] [Google Scholar]
  8. Lorber J. Spina bifida cystica. Results of treatment of 270 consecutive cases with criteria for selection for the future. Arch Dis Child. 1972 Dec;47(256):854–873. doi: 10.1136/adc.47.256.854. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Matson D. D. Surgical treatment of myelomeningocele. Pediatrics. 1968 Aug;42(2):225–227. [PubMed] [Google Scholar]
  10. Mawdsley T., Rickham P. P. Further follow-up study of early operation for open myelomeningocele. Dev Med Child Neurol Suppl. 1969;20:8–12. doi: 10.1111/j.1469-8749.1969.tb09238.x. [DOI] [PubMed] [Google Scholar]
  11. Nergårdh A., von Hedenberg C., Hellström B., Ericsson N. O. Continence training of children with neurogenic bladder dysfunction. Dev Med Child Neurol. 1974 Feb;16(1):47–52. doi: 10.1111/j.1469-8749.1974.tb02710.x. [DOI] [PubMed] [Google Scholar]
  12. Rabinovitch H. H. Bladder evacuation in child with meningomyelocele. Urology. 1974 Apr;3(4):425–427. doi: 10.1016/s0090-4295(74)80154-8. [DOI] [PubMed] [Google Scholar]
  13. Scott J. E. Urinary diversion in children. Arch Dis Child. 1973 Mar;48(3):199–206. doi: 10.1136/adc.48.3.199. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Smith E. D. Urinary prognosis in spina bifida. J Urol. 1972 Nov;108(5):815–817. doi: 10.1016/s0022-5347(17)60877-2. [DOI] [PubMed] [Google Scholar]
  15. Smith G. K., Smith E. D. Selection for treatment in spina bifida cystica. Br Med J. 1973 Oct 27;4(5886):189–197. doi: 10.1136/bmj.4.5886.189. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Stark G. D., Drummond M. Results of selective early operation in myelomeningocele. Arch Dis Child. 1973 Sep;48(9):676–683. doi: 10.1136/adc.48.9.676. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Stark G. The pathophysiology of the bladder in myelomeningocele and its correlation with the neurological picture. Dev Med Child Neurol. 1968;(Suppl):76+–76+. doi: 10.1111/j.1469-8749.1968.tb04850.x. [DOI] [PubMed] [Google Scholar]
  18. Thomas G., Zachary R. B., Lister J. "Closed" external sphincterotomy for bladder outlet obstruction in myelomeningocele. Br J Urol. 1973 Oct;45(5):515–519. doi: 10.1111/j.1464-410x.1973.tb06814.x. [DOI] [PubMed] [Google Scholar]

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