TY - JOUR
T1 - Urinary considerations for adult patients with spinal dysraphism
AU - Veenboer, Paul W.
AU - de Kort, Laetitia M. O.
AU - Chrzan, Rafal J.
AU - de Jong, Tom P. V. M.
PY - 2015
Y1 - 2015
N2 - The incidence of newborns with spinal dysraphism is diminishing worldwide, although survival of individuals with this condition into adulthood continues to improve. The number of adults with spinal dysraphism will, therefore, increase in the coming years, which will pose new challenges in patient management. Urological manifestations of spinal dysraphism can include increased risks of urinary incontinence, urinary tract infection, urinary calculi, sexual dysfunction, end-stage renal disease and iatrogenic metabolic disturbances; however, the severity and incidence of these symptoms varies substantially between patients. Owing to the presence of multiple comorbidities, treatment and follow-up protocols often have to be adapted to best suit the needs of specific patients. Authors describe bladder and kidney function and long-term complications of treatments initiated in childhood, as well as the potential for improvements in quality of life through better follow-up schedules and future developments
AB - The incidence of newborns with spinal dysraphism is diminishing worldwide, although survival of individuals with this condition into adulthood continues to improve. The number of adults with spinal dysraphism will, therefore, increase in the coming years, which will pose new challenges in patient management. Urological manifestations of spinal dysraphism can include increased risks of urinary incontinence, urinary tract infection, urinary calculi, sexual dysfunction, end-stage renal disease and iatrogenic metabolic disturbances; however, the severity and incidence of these symptoms varies substantially between patients. Owing to the presence of multiple comorbidities, treatment and follow-up protocols often have to be adapted to best suit the needs of specific patients. Authors describe bladder and kidney function and long-term complications of treatments initiated in childhood, as well as the potential for improvements in quality of life through better follow-up schedules and future developments
U2 - https://doi.org/10.1038/nrurol.2015.99
DO - https://doi.org/10.1038/nrurol.2015.99
M3 - Review article
C2 - 25963964
SN - 1759-4812
VL - 12
SP - 331
EP - 339
JO - Nature Reviews. Urology
JF - Nature Reviews. Urology
IS - 6
ER -