Neurogenic lower urinary tract dysfunction (NLUTD) remains a formidable challenge to pediatric urologists to achieve the goals of renal preservation and the reduction of urinary tract infections as well as the attainment of continence and independence as children grow toward adulthood.
Tremendous progress has occurred over the past 50 years which have witnessed an evolution in focus from mere survival to optimal quality of life. This review presents four separate guidelines for the medical and surgical care of pediatric NLUTD, most commonly related to spina bifida, to highlight the change in approach from expectant to more proactive management.
The Urologic clinics of North America. 2023 May 19 [Epub]
John S Wiener, Rajeev Chaudhry
Department of Urology, Duke University Medical Center, Box 3831, Durham, NC 27710, USA. Electronic address: ., University of Pittsburgh Medical Center, Children's Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA 15224, USA.
PubMed http://www.ncbi.nlm.nih.gov/pubmed/37385704