Stockamp K, Herrmann H, Schreiter F
Urol Int. 1976;31(1-2):93-9. doi: 10.1159/000280037.
Urodynamic evaluation was performed in 75 patients with congenital neuropathic bladder. Concerning treatment the most important parameters were detrusor tone, detrusor activity and bladder outlet resistance. Based on these findings individual conservative therapy was applied. Reflux or dilatation of the upper urinary tract found in 26 children could be controlled by drugs or transurethral operations in 20, urinary diversion had to be done only 4 times. 26 children were selected for intensive treatment of incontinence; in about 50% satisfying urinary control was achieved. These results still need long-term observation. The main interest, however, was to postpone irreversible surgery and to gain time for possible better treatment in the future.
对75例先天性神经源性膀胱患者进行了尿动力学评估。在治疗方面，最重要的参数是逼尿肌张力、逼尿肌活动和膀胱出口阻力。基于这些发现，采用了个体化的保守治疗方法。在26名儿童中发现的上尿路反流或扩张，20例可通过药物或经尿道手术得到控制，仅4例需要进行尿流改道。选择26名儿童进行尿失禁强化治疗；约50%的患者实现了满意的控尿。这些结果仍需长期观察。然而，主要目的是推迟不可逆手术，并为未来可能更好的治疗争取时间。
