کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4162969 1274295 2014 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Development of upper tract stones in patients with congenital neurogenic bladder
ترجمه فارسی عنوان
توسعه سنگهای فوقانی دستگاه در بیماران مبتلا به پری مغز و اعصاب
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پریناتولوژی (پزشکی مادر و جنین)، طب اطفال و بهداشت کودک
چکیده انگلیسی

ObjectivePatients with neurogenic bladder are at increased risk of developing upper tract stones. We hypothesized that patients with lower urinary tract stone disease are at greater risk of developing upper tract stones.MethodsWe performed a 10-year retrospective case–control study of patients with neurogenic bladder to determine the association between bladder and upper tract stones. Independent risk factors for upper tract stones were assessed. Cases and controls were matched 1:1. Univariable analysis was performed by Fisher's exact test and the Mann–Whitney U test. Multivariable logistic regression was performed.Results52 cases and controls were identified. Cases were significantly more likely to be non-ambulatory, have bowel–urinary tract interposition, thoracic level dysraphism, and history of bladder stones. On multivariable analysis, independent predictors of stone formation were male sex (OR 2.82; p = 0.02), dysraphism involving the thoracic spine (OR 3.37; p = 0.014) bowel–urinary tract interposition (OR 2.611; p = 0.038), and a history of bladder stones (OR 3.57; p = 0.015).ConclusionPatients with neurogenic bladder are at increased risk for upper tract stones. The presence of bladder stones may herald the development of upper tract stones. The predictors of stone disease identified should guide prospective studies to better understand the natural history of upper tract stone development in this population.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Pediatric Urology - Volume 10, Issue 1, February 2014, Pages 112–117
نویسندگان
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