n South African Medical Journal - The paediatric neuropathic bladder : CME - article
|Article Title||The paediatric neuropathic bladder : CME - article|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||South African Medical Journal|
|Affiliations||1 Red Cross War Memorial Children's Hospital and 2 University of Cape Town|
|Publication Date||Mar 2014|
|Pages||225 - 227|
Paediatric neuropathic bladder dysfunction can cause irreversible renal damage and urinary incontinence. Aetiologically, this condition is usually caused by a congenital neural tube defect. The majority of affected children can be successfully managed with the standard medical treatment of clean intermittent catheterisation and anticholinergic medication (typically oxybutynin). A small subset of patients who receive oral oxybutynin experience severe side-effects or insufficient suppression of detrusor overactivity. This group may require alternative medical or surgical management.
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