The relevance of studying the state of blood circulation of the neurogenic bladder in children

Abstract

Neurogenic disorders of the bladder are diverse in their mechanisms and difficult to treat. Researchers around the world have step by step discovered new aspects of the pathogenetic mechanisms responsible for detrusor dysfunction. Naturally, with the understanding of these mechanisms, new lines of therapy appeared, making the treatment of such children more effective and justified. Only complex therapy, considering all pathogenetic mechanisms, can give the best result. To date, the degree of influence and ways to solve the problem of impaired blood supply to the bladder have not been fully studied. For a long time, this issue has not been given due attention, due to the complexity of an objective assessment of the sufficiency of blood supply to the bladder. However, those few studies suggest that it is impossible to count on success in the treatment of such children without including in therapy components aimed at normalizing the angiological factor and, as a consequence, correcting detrusor hypoxia and energy metabolism disorders. Angiological disorders have a multidirectional character from vasospasm and circulatory hypoxia to vasodilation and congestive hyperemia. Therefore, the diagnosis and treatment of blood supply disorders of the bladder is a very important and difficult task. Since neurogenic disorders of the bladder are very common, a universal method of assessing the condition of its vessels is needed, which will be convenient and accessible to doctors in routine practice. Such a method is rheopelviography. The introduction of this method into routine practice will lead to the accumulation of experience and improve the diagnosis and treatment of bladder dysfunctions.