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• W2335824922 abstract "No AccessJournal of Urology1 Apr 1994Preexisting Neurogenic Voiding Dysfunction in Children with Imperforate Anus: Problems in Management Hidehiro Kakizaki, Katsuya Nonomura, Yoshifumi Asano, Yuichiro Shinno, Kaname Ameda, and Tomohiko Koyanagi Hidehiro KakizakiHidehiro Kakizaki More articles by this author , Katsuya NonomuraKatsuya Nonomura More articles by this author , Yoshifumi AsanoYoshifumi Asano More articles by this author , Yuichiro ShinnoYuichiro Shinno More articles by this author , Kaname AmedaKaname Ameda More articles by this author , and Tomohiko KoyanagiTomohiko Koyanagi More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)35172-8AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We evaluated 22 boys and 2 girls 1 month to 8 years old with imperforate anus to determine the relationship between neurogenic voiding dysfunction and bony sacral or spinal cord anomalies. Lower urinary tract function before anorectoplasty was normal in 12 children (group 1), abnormal (detrusor-sphincter dyssynergia) in 9 (group 2) and not evaluated in 3 (group 3). High lesions of imperforate anus were present in 22% of the patients in group 1 and in 100% of those in group 2. Plain radiography revealed partial sacral agenesis in 1 child in group 1 and 4 in group 2. Magnetic resonance imaging detected occult spinal dysraphism in 1 patient in group 1 and 2 in group 2. (Occult spinal dysraphism included sacral lipoma, tethered cord, syringomyelia and thick filum terminale.) Seven children in group 2 had vesicoureteral reflux before anorectoplasty. All children in group 2 were placed on clean intermittent catheterization for the management of neurogenic voiding dysfunction. Normal upper urinary tract function was maintained in all patients in group 1 and 6 in group 2. The remaining 3 children in group 2 had high grade reflux at presentation associated with severe renal damage or noncompliance with clean intermittent catheterization. These findings indicate that in children with imperforate anus lower urinary tract function should be evaluated before anorectoplasty because of the high incidence of associated congenital neurogenic voiding dysfunction and the potential risk for renal deterioration. When possible, neurogenic voiding dysfunction should be managed with clean intermittent catheterization to prevent renal damage. © 1994 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByStathopoulos E, Muehlethaler V, Rais M, Alamo L, Dushi G, Frey P, Ramseyer P and Meyrat B (2018) Preoperative Assessment of Neurovesical Function in Children with Anorectal Malformation: Association with Vertebral and Spinal MalformationsJournal of Urology, VOL. 188, NO. 3, (943-947), Online publication date: 1-Sep-2012.KAKIZAKI H, MORIYA K, AMEDA K, SHIBATA T, TANAKA H and KOYANAGI T (2018) Diameter of the External Urethral Sphincter as a Predictor of Detrusor-Sphincter Incoordination in Children: Comparative Study of Voiding CystourethrographyJournal of Urology, VOL. 169, NO. 2, (655-658), Online publication date: 1-Feb-2003. Volume 151Issue 4April 1994Page: 1041-1044 Advertisement Copyright & Permissions© 1994 by The American Urological Association Education and Research, Inc.Keywordsurodynamicsbladder, neurogenicanus, imperforateurinary catheterizationMetricsAuthor Information Hidehiro Kakizaki More articles by this author Katsuya Nonomura More articles by this author Yoshifumi Asano More articles by this author Yuichiro Shinno More articles by this author Kaname Ameda More articles by this author Tomohiko Koyanagi More articles by this author Expand All Advertisement Loading ..." @default.
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• W2335824922 title "Preexisting Neurogenic Voiding Dysfunction in Children with Imperforate Anus: Problems in Management" @default.
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