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Vannlatingsproblemer og urinveiskomplikasjoner hos ungdom og voksne med myelomeningocele
Engelsk titel: Voiding problems and urinary tract complications in adolescents and adults with Läs online Författare: Glott T ; Stanghelle JK ; Rand-Hendriksen S ; Johnsen V ; Thyberg M ; Melhus M ; Brabrand K ; Fjeld JG ; Bakke A Språk: Nor Antal referenser: 23 Dokumenttyp: Artikel UI-nummer: 01051085

Tidskrift

Tidsskrift for Den Norske Laegeforening 2001;121(10)1211-5 ISSN 0029-2001 E-ISSN 0807-7096 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

BACKGROUND : The aim of this study was to describe voiding dysfunction and urinary tract complications in a population above 16 years of age with myelomeningocele. MATERIAL AND METHODS : 51 persons were included in the study. Data were obtained by questionnaires, ultrasound and glomerular filtration rate; in those with intact urinary bladder, by cystometry and videocystography. RESULTS : 30 out of 33 persons with intact urinary bladder were incontinent. Those with daily incontinence described this as a major problem. Cystometry concluded with normal detrusor contractions in three, detrusor hyperreflexia in five, and a detrusor hyporeflexia in 25 persons. Three out of 30 had vesicoureteral reflux. Ultrasound showed mild hydronephrosis and/or scarring in three persons. Average glomerular filtration rate was 86% (50-131%). 11 had Bricker diversion and seven continent reservoirs. 15 out of 18 persons with urinary diversion were satisfied with this solution. In persons with urinary diversion, the average glomerular filtration rate was 78% (44-109%). Ultrasound showed hydronephrosis and/or scarring in seven out of 16. Overall, urinary tract infections last year were reported by 56%, and pyelonephritis was more common in those with urinary diversion. INTERPRETATION : Incontinence is a common problem in adults with myelomeningocele. About one third had upper urinary tract changes, but none had renal failure.