Bloom D A, Knechtel J M, McGuire E J
Department of Surgery, University of Michigan, Ann Arbor.
J Urol. 1990 Aug;144(2 Pt 2):430-3; discussion 443-4. doi: 10.1016/s0022-5347(17)39482-x.
Among 350 children with myelomeningocele 18 with elevated leak point pressures were managed by urethral dilation and followed for 1 to 5 years. Longitudinal measurements of bladder compliances revealed durable improvement in the pressure-volume relationships after dilation. These data suggest that noncompliant bladders are acquired because of high outlet resistance, and early intervention may improve long-term bladder storage characteristics.
