Kaneti J, Sober I, Gradus D
Department of Urology, Soroka University Hospital, Beer-Sheva, Israel.
Eur Urol. 1988;14(5):422-5. doi: 10.1159/000472997.
The nonneurogenic neurogenic bladder syndrome which actually comprises a large spectrum of clinical radiological, psychological and behavioral disorders, is manifested by bladder-sphincter incoordination and constitutes a very complex problem of overall management. The condition refers to infravesical functional obstruction in children in whom no anatomic or neurological defect is demonstrated. Although the etiologic bases are often unclear, successful management of urinary infection and reflux and prevention of upper tract deterioration are achievable by multidisciplinary conservative measures, sometimes reinforced by ureteric reimplantation. End-stage renal failure due to this syndrome is a rare complication. The presented case demonstrates well all the clinical features of this syndrome, which unfortunately ended in hemodialysis.
非神经源性神经源性膀胱综合征实际上包含一系列广泛的临床、放射学、心理和行为障碍，表现为膀胱括约肌不协调，是一个整体管理非常复杂的问题。该病症指的是在儿童中膀胱以下功能性梗阻，且未发现解剖学或神经学缺陷。尽管病因往往不明，但通过多学科保守措施，有时辅以输尿管再植术，可成功管理尿路感染和反流，并预防上尿路恶化。由该综合征导致的终末期肾衰竭是一种罕见的并发症。所呈现的病例很好地展示了该综合征的所有临床特征，不幸的是最终发展为血液透析。
