Science Alert: Children with specific bladder care needs

Posted by Maria Åberg Håkansson, November 21 2017

Urinary tract anomalies are sometimes seen in children, and many of them require active treatment to achieve continence. Vesicoureteral reflux and/or a neurogenic bladder secondary to meningomyelocele (e.g. spina bifida) are two examples that require swift action.

Catheterization is sometimes a suitable solution and new research has studied the need for local anesthetic associated with catheterization. A meta-analysis combined many study results and concluded that the effect of local anesthetic was limited.

Sometimes, catheterization is not possible through the urethra and a continent catheterizable channel is surgically created. Different procedures (e.g. Mitrofanoff) can be used and two new studies look into the complications associated with this kind of surgery. Both studies conclude that surgical procedures should only be used in children who cannot perform urethral catheterization, because surgical revisions and long-term complications are common.

Another, maybe more far-fetched, solution to these children's problems is the use of stem cell therapy. A new review summarizes the available evidence for stem cell therapy and show that the use of bone marrow stem cells has potential in bladder tissue regeneration.

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Topics: Science Alert, UTI, Neurogenic bladder, CAUTI

Science Alert: Urinary Tract Infection (UTI) – Are Probiotics the answer?

Posted by Maria Åberg Håkansson, November 7 2017

Urinary tract infections (UTIs) are a heavy burden on the healthcare system today. UTIs are also one of the most common complications among people living with a neurogenic bladder, causing significant complications and health hazards. New clinical research investigates the clinical problem and demonstrates that UTIs are still among the leading causes of death in people with a neurogenic bladder.

On average, people with a neurogenic bladder experience 2 UTI events every year, requiring repeated antibiotic treatments. Frequent use of antibiotics is one of the main contributors to the high prevalence of antibiotic-resistant bacteria today, and as a result, UTIs are getting more expensive and more difficult to treat. As a consequence, there is a major focus in clinical research on the search for non-antibiotic prophylactic treatment for UTIs.

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Topics: Science Alert, UTI, Neurogenic bladder, CAUTI

Science Alert: Treatment of Children with Neurogenic Bladder and Bowel Dysfunction

Posted by Sofi Sigvardsson, August 22 2017

Bowel function in children is a common concern, not only for the child but also parents and caregivers. As it is perceived as a measurement of health, deviations from normal bowel function often instigate numerous visits to a primary care provider.

Consequently, bowel dysfunction is one of the most common problems evaluated by pediatricians, pediatric gastroenterologists, and pediatric surgeons. This may be the reason why two recent publications review diagnosis, standard bowel care, and prevention of pediatric constipation. 

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Topics: Science Alert, Neurogenic bladder, Children and TAI, bowel dysfunction

Neurogenic bladder and bowel – two sides of the same coin?

Posted by Helene Klasson, March 9 2017

Heads or tails? It's the same coin, and when treating neurogenic bladder and bowel, it's the patient that is the unifying focus.

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Topics: Neurogenic bladder, Neurogenic bowel

Science Alert: Management of the neurogenic bladder – now and then

Posted by Maria Åberg Håkansson, February 1 2017

Lower urinary tract symptoms are common after nerve damage and a new review summarizes the treatment forms and reasons behind it in patients with Parkinson disease. One of the treatment options available is intermittent catheterization.

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Topics: Science Alert, Neurogenic bladder

Science Alert: Spina bifida – children and young adults with specific needs

Posted by Sofi Sigvardsson, January 24 2017

Bladder and bowel control has the potential of being a quiet distress throughout life for children and young adults with Spina Bifida. There are a few recent articles reviewing and investigating different aspects of bladder and bowel management therapy in this group.

You will find a summary from these articles in this blog post!

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Topics: Science Alert, Neurogenic bladder, Spina Bifida, Neurogenic bowel

What is a Neurogenic Bladder?

Posted by Chris Bridgman, May 17 2016

Most of us take the healthy functioning of our bladder for granted, but impairment of bladder function can be a deeply troubling cause of daily anxiety if you have a Neurogenic Bladder.  

In this post, we shall look at the symptoms and available treatments for managing the Neurogenic Bladder.

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Topics: CIC, Neurogenic bladder