Orientation actuelle du traitement de la vessie neurologique de l'enfant. Expérience du service MPRF Kassab. Exemple du spina bifida

Neurological bladder can be easily missed in children, particular when there is no motor impairment, raising important problems concerning: (1) diagnosis, (2) follow-up with the risk of damage to the upper tract urinary, (3) long-term management, often implying intermittent catheterization with the risk of poor compliance, (4) as well as the psychological impact and social acceptance. These various elements were found in our study. Of particular importance was the impact of late diagnosis and the problems related to acceptance of proposed treatments. Based on our experience, we emphasize the importance of a complete physical examination with, if necessary, complementary investigations such as an urodynamic assessment, for all children presenting miction disorders.