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KMID : 0358319920330020298
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Korean Journal of Urology
1992 Volume.33 No. 2 p.298 ~ p.303
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Urodynamic Study in Children with Myelodysplasia
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Abstract
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A selection of particular typo of neurogenic bladder with a high risk for renal function from urodynamic study in myelodysplasia is important to predict prognosis and to determine treatment plan. With video urodynamic study we tried to know which
type
of bladder dysfunction had a possibility of renal deterioration. Among 39 patients with myelodysplasia, 10 patients had vesicoureteral reflux, In these patients, vesicoureteral reflux was found in 3 of 7 patients with hyperreflexia showing
detrusor-sphincter dyssynergia, 2 of 6 patients with hyperreflexia without showing detrusor-sphincter dyssvnergia and 5 of 10 patients with areflexia showing low compliance. All normal and any other areflexic bladders including relatively high
compliance didn't show vesicoureteral reflux. Upper tract dilatation also showed similar findings, These data show that with. careful urodymic study high risk neurogenic bladder type can be detected and it requires more aggressive treatment to
preserve
renal function.
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KEYWORD
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