An Approach to Children with Neurogenic Bladder Dysfunction

Urinary bladder has a complex innervations with somatic and sympathetic systems and carries out dual functions of storage and emptying of urine. At least 25% of the clinical problems seen in pediatric urology are the result of neurologic lesions that affect the lower urinary tract function. Our increasing understanding of the neurophysiology of bladder coupled with advances in urodynamic techniques specifically designed for infants and young children have provided more accurate assessment of pediatric lower urinary tract disorders.
Neural control of bladder—sphincter unit in children is age dependant and hence much more variable and complex than those of adults. Of the various classifications of bladder dysfunctions the one proposed by International Children’s Continence society in 1997 is well accepted.

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Dr V.T Haridas

Senior Consultant Neurophysician at Elite Mission Hospital

Dr V.T.Haridas is a Senior Consultant Neurophysician at Elite Mission Hospital, Thrissur, Kerala. He received his medical degree from the Thrissur Medical College and had his two years Post Graduate Training in General Medicine at the Kottayam Medical College. He completed his DM Neurology training at NIMHANS, Bangalore, Dr.Haridas has also received DNB degrees in General medicine as well as DNB neurology. He was a rank holder during his Graduation and his area of interest is Neuro-rehabilitation.

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