Neurogenic bladder dysfunction in children

Neurogenic bladder dysfunction, which develops in children, is a functional disorder in which there is a violation of filling processes, and at the same time emptying the bladder. Often the basis for the causes leading to the development of the disease is the violation of the nervous regulation of the urinary process itself.

What causes this kind of violation?

Malfunction of the urinary system in this disease occurs, primarily because of insufficient coordination of the degree of activity of the external sphincter of the bladder. A similar phenomenon can occur when:

• congenital malformations of the central nervous system (myelodysplasia);
• trauma of the bladder;
• tumor processes in the spine, spinal cord;
• birth trauma;
• infantile cerebral palsy;
• spinal hernia.

It is also worth noting that, in addition to the above-listed causes of neurogenic bladder dysfunction in children, this disorder may be due to the instability of the formed urinary reflex.

According to statistical data, the disease is more often observed in girls, which is explained, first of all, by estrogen saturation.

How is the treatment of neurogenic dysfunction of the bladder that occurs in children?

The therapeutic process of such a violation must have an integrated approach. It is very important in the treatment to adhere to, the so-called conservative regime, which consists of frequent walks in the fresh air, extra sleep time, elimination of stressful situations.

In the process of carrying out correctional measures, the following may be appointed:

• M-holinoblokatory (Atropine, with 5 years appoint Oksibutinin);
• antagonists of calcium (Terodilin, Nifedipine).
• To treat a neurogenic bladder accompanied by nocturnal enuresis , children after 5 years of age are prescribed Desmopressin (an analogue of an antidiuretic hormone).