Management of pediatric neurogenic bladder.

Abstract:

PURPOSE OF REVIEW:To review the most current literature regarding the management of neurogenic bladder in children. RECENT FINDINGS:Several recent papers have addressed the investigation and management of children with neurogenic bladder. Bladder wall thickness as measured by ultrasound may identify the children with urodynamic risk factors for upper urinary tract deterioration. Strategies such as maximal anticholinergic therapy, total endoscopic management, conservative management throughout puberty, and isolated bladder neck procedures to avoid bladder augmentation show promise. However, at present, there is inadequate long-term follow-up to recommend widespread application of all of these approaches. As children with neurogenic bladder enjoy longer life spans, issues including risks of malignancy related to augmentation and transition to adult-centered care will continue to gain significance. SUMMARY:Pediatric urologists continue to face many challenges in the management of children with neurogenic bladder. This includes identifying predictors of upper urinary tract deterioration, finding efficacious strategies to avoid bladder augmentation, and long-term care. The most recent literature attempts to address these issues. Further prospective studies with adequate follow-up will benefit our understanding of this disease process and help to choose the best strategies to achieve continence and preserve renal function in this population.

journal_name

Curr Opin Urol

authors

MacLellan DL

doi

10.1097/MOU.0b013e32832c9178

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

407-11

issue

4

eissn

0963-0643

issn

1473-6586

journal_volume

19

pub_type

杂志文章,评审
  • Healthcare economics of bladder cancer: cost-enhancing and cost-reducing factors.

    abstract:PURPOSE OF REVIEW:The diagnosis and treatment of bladder cancer represents a significant financial burden to the population in the United States. Therapeutic advances in bladder cancer care have come at a high cost to payers, providers, and patients. This study describes the principals of cost-effectiveness evaluation ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32830b8910

    authors: Noyes K,Singer EA,Messing EM

    更新日期:2008-09-01 00:00:00

  • New diagnostic strategies in the detection and staging of bladder cancer.

    abstract:PURPOSE OF REVIEW:Bladder cancer is a very frequent disease and represents the second most common genitourinary neoplasm. The most prevalent form of the disease, superficial bladder cancer, can recur in more than 70% of cases, despite correct management. Any way to improve our disease diagnostic and treatment policy is...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200309000-00001

    authors: Jichlinski P

    更新日期:2003-09-01 00:00:00

  • Current trends in partial adrenalectomy.

    abstract:PURPOSE OF REVIEW:Total adrenalectomy has been the standard treatment for small adrenal masses for years. In recent times, however, partial adrenalectomy and cortex-preserving strategies are gaining more importance. Therefore, we evaluated indications, techniques and outcome of partial adrenalectomy. RECENT FINDINGS:W...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000147

    authors: Colleselli D,Janetschek G

    更新日期:2015-03-01 00:00:00

  • Novel targeted therapy for advanced renal carcinoma: trials in progress.

    abstract:PURPOSE OF REVIEW:Better understanding of renal cell carcinoma biology has led to a new era of targeted therapy in the management of metastatic renal cell carcinoma. This review provides an updated survey of the recently reported and ongoing clinical trials that will help to further define the role of these novel drugs...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32833c86f8

    authors: Calabrò F,Sternberg CN

    更新日期:2010-09-01 00:00:00

  • Robotic surgery for ureteropelvic junction obstruction.

    abstract:PURPOSE OF REVIEW:Robotic surgery for ureteropelvic junction obstruction is an evolving technique. We review the current literature related to this technique and discuss the current technique and outcomes of robotic pyeloplasty. RECENT FINDINGS:Recent advances in robotic-assisted surgery have allowed the successful co...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/01.mou.0000232052.74342.a0

    authors: Lee RS,Borer JG

    更新日期:2006-07-01 00:00:00

  • Current and future imaging for urologic interventions.

    abstract:PURPOSE OF REVIEW:This review focuses on novel imaging techniques used for guiding urologic procedures that are likely to provide additional opportunities to physicians in the years to come. RECENT FINDINGS:In the past, most image-guided urologic procedures have utilized two-dimensional x-ray images. This review will ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e3282f1c5d3

    authors: Nascimento RG,Coleman J,Solomon SB

    更新日期:2008-01-01 00:00:00

  • Systemic treatment options for metastatic hormone-sensitive prostate cancer: making sense of the data.

    abstract:PURPOSE OF REVIEW:Systemic treatment options for metastatic hormone-sensitive prostate cancer (mHSPC) have recently shifted from the traditional androgen deprivation therapy (ADT) monotherapy to multidrug approaches incorporating drugs initially approved for castration-resistant state and ADT. However, clinicians have ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000778

    authors: Baston C,Preda A,Guler-Margaritis SS,Sinescu I,Gingu C

    更新日期:2020-07-01 00:00:00

  • Clinical implications of genitourinary embryology.

    abstract:PURPOSE OF REVIEW:This review focuses on recent advances in molecular embryology of the upper and lower urinary tract with an emphasis on clinical correlation in order to gain a better understanding for the mechanism of congenital anomalies. RECENT FINDINGS:Normal morphogenesis of the kidney, ureteral bud differentiat...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32832c90ff

    authors: Shapiro E

    更新日期:2009-07-01 00:00:00

  • Medical treatment of urinary stones.

    abstract:PURPOSE OF REVIEW:To identify the latest progression on medical treatment of urinary stones. RECENT FINDINGS:Nonsteroidal anti-inflammatory drugs should be the preferred analgesic option for patients presenting to the emergency department with renal colic. A-blockers could be of patient benefit when used for distal ur...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000523

    authors: Skolarikos A

    更新日期:2018-09-01 00:00:00

  • Current status of tissue engineering in urology.

    abstract:PURPOSE OF REVIEW:Tissue engineering is a rapidly advancing technology that is shifting from the laboratory to urological practice. The review explores recent developments and considers the relationship to existing treatments. RECENT FINDINGS:Different strategies to generate transplantable tissue grafts in vitro and h...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32830f9402

    authors: Wood D,Southgate J

    更新日期:2008-11-01 00:00:00

  • Role of phytotherapy in men with lower urinary tract symptoms.

    abstract:PURPOSE OF REVIEW:Serenoa repens extract is a popular phytotherapeutic agent in men with lower urinary tract symptoms. Although the exact mechanism of action is unknown, the agent is generally well accepted for its easy availability and good tolerability. This paper reviews the evidence of its efficacy in comparison wi...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200501000-00011

    authors: Fong YK,Milani S,Djavan B

    更新日期:2005-01-01 00:00:00

  • Male incontinence: onabotulinum toxin A and sacral nerve stimulation.

    abstract:PURPOSE OF REVIEW:Overactive bladder affects 10-12% of men, of which 13% are refractory to medical therapy and seek second-line treatment. This places a substantial clinical and economic burden on the National Health Service United Kingdom. RECENT FINDINGS:This review identifies current evidence for the use of onabotu...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/01.MOU.0000434594.87575.26

    authors: Rashid TG,Ockrim JL

    更新日期:2013-11-01 00:00:00

  • Evaluation of lower urinary tract symptoms in females.

    abstract:PURPOSE OF REVIEW:Ongoing controversy exists as to the extent of the necessary evaluation of the female presenting with lower urinary tract symptoms. Most would agree that a detailed history, a physical examination and a urine analysis are essential components of the initial evaluation of lower urinary tract symptoms i...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200307000-00002

    authors: Rovner ES,Wein AJ

    更新日期:2003-07-01 00:00:00

  • Renal magnetic resonance angiography: an update.

    abstract::Recent developments in renal magnetic resonance angiography have led to a significant improvement in the technical success rate and diagnostic accuracy of the methods. Specifically, three-dimensional contrast-enhanced magnetic resonance angiography methods have been shown to provide a more reliable depiction of renal ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章

    doi:10.1097/00042307-199803000-00006

    authors: Grist TM

    更新日期:1998-03-01 00:00:00

  • The prognostic value of hematological and systemic inflammatory disorders in invasive bladder cancer.

    abstract:PURPOSE OF REVIEW:In contrast to the large amount of evidence reporting on the oncological significance of various clinicopathological and molecular parameters for survival in invasive bladder cancer, alterations of preoperative hematological and systemic inflammatory parameters have not been sufficiently addressed in ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32834966fa

    authors: Gakis G,Todenhöfer T,Stenzl A

    更新日期:2011-09-01 00:00:00

  • Limitations of extracorporeal shock wave lithotripsy.

    abstract:PURPOSE OF REVIEW:Extracorporeal shock wave lithotripsy (ESWL) is the preferred modality for the treatment of renal and upper ureteric calculi. The present review focuses on the limitations of ESWL, where recent developments have tried to identify patients who are unlikely to succeed with ESWL and where improvements in...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32802b70bc

    authors: Madaan S,Joyce AD

    更新日期:2007-03-01 00:00:00

  • Current evidence for focal therapy and partial gland ablation for organ-confined prostate cancer: systematic review of literature published in the last 2 years.

    abstract:PURPOSE OF REVIEW:The shift in the diagnostic algorithm for prostate cancer to early imaging with mpMRI has resulted in many patients being diagnosed with small volume, apparently unilateral, clinically significant cancers. In these patients, a minimally invasive, nonmorbid intervention is appealing. The aim of this st...

    journal_title:Current opinion in urology

    pub_type: 杂志文章

    doi:10.1097/MOU.0000000000000838

    authors: Kayano PP,Klotz L

    更新日期:2021-01-01 00:00:00

  • Pediatric pheochromocytoma: current status of diagnostic imaging and treatment procedures.

    abstract:PURPOSE OF REVIEW:To provide an overview of relevant data available and updated recommendations for management of pediatric patients with pheochromocytoma (PCC). RECENT FINDINGS:Much of the available data surrounding pediatric PCC is in the form of case reports and case series. With the accumulation of data over time,...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000650

    authors: Peard L,Cost NG,Saltzman AF

    更新日期:2019-09-01 00:00:00

  • How well tolerated is supine percutaneous nephrolithotomy?

    abstract:PURPOSE OF REVIEW:Supine percutaneous nephrolithotomy (PCNL) has been described in 1988 and several modifications followed since. Despite claimed benefits, supine PCNL is still neglected by the majority of urologists. Lack of experience and the fear of complications are possible explanations for the resistance to supin...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000023

    authors: Baard J,Kamphuis GM,Westendarp M,de la Rosette JJ

    更新日期:2014-03-01 00:00:00

  • Current strategies for first and second line intravesical therapy for nonmuscle invasive bladder cancer.

    abstract:PURPOSE OF REVIEW:Nonmuscle invasive bladder cancer is a common malignancy, usually treated by transurethral resection and adjuvant intravesical instillations of chemotherapy or immunotherapy. Appropriate adjuvant treatment can be selected based on several prognostic factors that determine risk for recurrence or progre...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e3281c55f2b

    authors: Hendricksen K,Witjes JA

    更新日期:2007-09-01 00:00:00

  • Cognitive learning and its future in urology: surgical skills teaching and assessment.

    abstract:PURPOSE OF REVIEW:The aim of this study is to provide an overview of the current status of novel cognitive training approaches in surgery and to investigate the potential role of cognitive training in surgical education. RECENT FINDINGS:Kinematics of end-effector trajectories, as well as cognitive state features of su...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000408

    authors: Shafiei SB,Hussein AA,Guru KA

    更新日期:2017-07-01 00:00:00

  • The role of prostate-specific membrane antigen PET/computed tomography in primary staging of prostate cancer.

    abstract:PURPOSE OF REVIEW:Functional imaging with PET combined with computed tomography (CT) is of emerging interest in prostate cancer (PCa). Development of prostate-specific membrane antigen (PSMA) radiolabelled ligands has thrust PET/CT into the limelight as an alternative to conventional imaging techniques, and the evidenc...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000677

    authors: Koschel S,Murphy DG,Hofman MS,Wong LM

    更新日期:2019-11-01 00:00:00

  • Applications of spectroscopy in diagnosis, staging, and treatment of urologic malignancies.

    abstract:PURPOSE OF REVIEW:To review the scientific literature on clinical applications of spectroscopy within urologic oncology. Specifically, we address the role of spectroscopy as a novel intraoperative or intraprocedural modality for the management of urothelial carcinoma, renal cell carcinoma, and prostate adenocarcinoma. ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000281

    authors: Seltz LM,Herrell SD

    更新日期:2016-05-01 00:00:00

  • Urolithiasis in kidneys with abnormal lie, rotation or form.

    abstract:PURPOSE OF REVIEW:The treatment options in urolithiasis in kidneys with abnormalities of form and location can be challenging due to abnormal anatomy (calyceal and renal orientation), relative immobility interfering with movement of equipment, and abnormal relation with other visceral organs. RECENT FINDINGS:In this r...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e3283435c79

    authors: Ganpule AP,Desai MR

    更新日期:2011-03-01 00:00:00

  • The utility of 5-alpha reductase inhibitors in the prevention and diagnosis of prostate cancer.

    abstract:PURPOSE OF REVIEW:We examine the role of 5-alpha reductase inhibitors in prevention and diagnosis of prostate cancer, highlight the basic science supporting this role, and analyze the phase III clinical trials addressing the association between 5-alpha reductase inhibitor use and prostate cancer. RECENT FINDINGS:To da...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e328329eb29

    authors: Reed AB,Parekh DJ

    更新日期:2009-05-01 00:00:00

  • Stones in urinary diversions: update on medical and surgical issues.

    abstract:PURPOSE OF REVIEW:Patients who undergo urinary tract diversion are at an increased risk of urolithiasis for various reasons. The purpose of this article is to provide an up-to-date summary of the progress that has been made in the pathogenesis, diagnosis and treatment of stones in patients with urinary diversions. Fina...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200207000-00007

    authors: Beiko DT,Razvi H

    更新日期:2002-07-01 00:00:00

  • Intracorporeal lithotripsy: which modality is best?

    abstract:PURPOSE OF REVIEW:A large number of related articles published within the last year were reviewed. Different types of intracorporeal lithotripter devices were compared according to their advantages, disadvantages, efficacy, safety and clinical applications. General directions of future developments are discussed. RECE...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200305000-00014

    authors: Leveillee RJ,Lobik L

    更新日期:2003-05-01 00:00:00

  • Vesicoureteral reflux and urinary tract infections.

    abstract::Urinary tract infection is a common problem in children. The combination of vesico-ureteric reflux (VUR) and urinary tract infection may predispose children to pyelonephritis and subsequent complications. This review outlines the modifications suggested in the recent literature in the protocol for investigations and d...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200011000-00009

    authors: Agarwal S

    更新日期:2000-11-01 00:00:00

  • Overdetection in screening for prostate cancer.

    abstract:PURPOSE OF REVIEW:To describe mechanisms behind and extent of overdetection in prostate cancer screening as well as possible ways to avoid unnecessary overdiagnosis. RECENT FINDINGS:Overdetection and overtreatment is common in many areas of modern medicine. Current prostate-specific antigen (PSA) testing has resulted ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000054

    authors: Hugosson J,Carlsson S

    更新日期:2014-05-01 00:00:00

  • Carcinoma in situ of the bladder: why is it underdetected?

    abstract:PURPOSE OF REVIEW:The standard diagnosis of carcinoma in situ (CIS) of the bladder, based on white light cystoscopy and urine cytology, is limited because CIS can vary from normal-appearing mucosa to a lesion indistinguishable from an inflammatory process. Intravesical instillation of Bacillus Calmette-Guerin (BCG) rem...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000758

    authors: Subiela JD,Rodríguez Faba Ó,Guerrero-Ramos F,Aumatell J,Breda A,Palou J

    更新日期:2020-05-01 00:00:00