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Paper Information

Title: 

THE CLINICAL MANIFESTATION OF SPINAL DYSRAPHISM IN TWO STUDY GROUPS: WITH AND WITHOUT UROLOGICAL CARE

Type: PAPER
Author(s): BAHAR NOURI M.*,KAJBAFZADEH A.M.,NEJAT F.
 
 *
 
Name of Seminar: CONGREH ANJOMAN UROLOGY IRAN
Type of Seminar:  CONGRESS
Sponsor:  ANJOMAN OROLOGY
Date:  2005Volume 8
 
 
Abstract: 

INTRODUCTION: IN THIS STUDY WE, PROSPECTIVELY, EVALUATED 54 PATIENTS WITH SPINAL DYSRAPHISM TO DETERMINE WHETHER THE EARLY INSTITUTION OF TREATMENT IMPROVES BLADDER AND RENAL FUNCTIONAL OUTCOME.
MATHERALS AND METHODS: THE 54 PATIENTS WERE DIVIDED INTO TWO GROUPS: 27PATIENTS<2YEARS OLD (GROUP1), TREATMENT STARTED IN NEONATAL PERIOD OR BEFORE 2 YEARS OLD, 27 PATIENTS>2YEARS OLD (GROUP 2), THEIR FIRST UROLOGICAL EVALUATION WAS PERFORMED AFTER 2 YEARS OLD.
RESULT: AFTER ONE YEAR FOLLOW-UP THERE WERE NOT SIGNIFICANT DIFFERENCE ABOUT RENAL PRESERVATION IN TWO STUDY GROUPS. [REFLUX 5 OF 27 (%18.5) IN GROUP1, AND 10 OF 27 (%37) IN GROUP2]. SURGICAL INTERVENTIONS WERE LESS INDICATED IN PATIENTS GROUP1 [1 OF 27 (%3.7) VERSUS7 OF 27 (%25.9), P VALUE=0.05]. WE HAD BETTER RESPONSE TO CLEAN INTERMITTENT CATHETERIZATION IN GROUP 1 IN COMPARISON WITH OLDER PATIENTS. (LOW END FILL PRESSURE, LOW LEAK POINT PRESSURE AND RESIDUAL VOLUME IN GROUP1 IN COMPARISON WITH THE OTHER GROUP).
CONCLUSIONS: THE EARLY INTERVENTION WITH CLEAN INTERMITTENT CATHETERIZATION WITH OR WITHOUT MEDICATION WILL IMPROVE VOIDING PRESSURES AND DIMINISHED SURGICAL PROCEDURES BUT IT HAS NOT A DESIRABLE EFFECT ON URINARY TRACT PRESENTATION.

 
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