A simple screening tool for an unfavorable bladder in children with myelomeningocele: Is the height to width ratio of the cystogram useful to predict high-pressure bladder?

Kumano, Yohei; Hayashi, Chikara; Gohbara, Ayako; Yamazaki, Yoji

doi:10.1016/j.jpurol.2020.09.015

Cited by 6 publications

(8 citation statements)

References 11 publications

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“…From this perspective, the urodynamic study is a gold standard follow‐up exam. On the other hand, this is an invasive procedure that is capable of generating interpretation difficulties 5 . In the included studies, there was a range of tests evaluated in the urodynamic study.…”

Section: Discussionmentioning

confidence: 99%

“…Despite this being the predecessor randomized study to the others found in electronic databases, which directly compares groups of children with myelomeningocele and sham, it did not show any statistical difference in urodynamic parameters. Furthermore, as it is an invasive technique, it is not widely accepted for use in children 5 …”

Section: Discussionmentioning

confidence: 99%

“…Urological monitoring of people with myelomeningocele is considered necessary in detection, as the neurogenic bladder is characterized by high storage pressure, low compliance, and irregular shape 5 . From this perspective, the urodynamic study is a gold standard follow‐up exam.…”

Section: Discussionmentioning

confidence: 99%

“…However, in contrast to adults, the uridine study is only performed in specific situations due to the difficulty of both the procedure and its interpretation. 5 Despite the advances in the long-term management of neurogenic bladder, renal deterioration remains the leading cause of death and morbidity among patients with myelomeningocele. Nonsurgical management of neurogenic bladder is performed through intermittent catheterization, reflex voiding and expression or condom catheter drainage.…”

Section: Introductionmentioning

confidence: 99%

“…pressure, low compliance, and irregular shape 5. From this perspective, the urodynamic study is a gold standard follow-up exam.…”

mentioning

confidence: 99%

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Efficacy and safety of electrical stimulation in the treatment of neurogenic bladder dysfunction in myelomeningocele—Systematic review of randomized clinical trials

Silva

Horliana

Santos

et al. 2021

Neurourology and Urodynamics

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Aims: The purpose of this systematic review was to investigate and synthesize the effects (benefits and harms) of electrical stimulation (EE), alone or in association with other interventions, compared with sham and other interventions, for the treatment of neurogenic bladder dysfunction in myelomeningocele. Methods: This systematic review was conducted following the methodological recommendations of the Cochrane Handbook for Systematic Reviews of Interventions and registered at PROSPERO (CRD42020200425). A search was performed in the following electronic databases: MEDLINE, Cochrane Central Register of Controlled Trials, EMBASE, LILACS, and PEDro. Randomized clinical trials (RCTs) that assessed any EE in children diagnosed with myelomeningocele and neurogenic bladder and/or urinary incontinence were included and reported.Results: When comparing EE versus sham groups, some estimated effects showed a wide confidence interval, probably due to the small sample size of the included studies. This indicates an imprecision in these findings. Regarding the safety of this intervention and safety of the lower urinary tract, no adverse events resulting from EE were reported. All the included studies have evaluated the efficacy of EE compared with sham, but different EE parameters and electrode positions among studies make it impossible to perform a meta-analysis. Conclusions: Based on very low certainty evidence, the findings of this systematic review suggested no difference between EE and sham to improve urinary incontinence in children with myelomeningocele. However, the small sample size and the imprecision arising from the wide confidence intervals must be considered. Future RCTs following a rigorous methodology, as

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…pressure, low compliance, and irregular shape 5. From this perspective, the urodynamic study is a gold standard follow-up exam.…”

mentioning

confidence: 99%