Complications et facteurs pronostiques des vessies neurogènes

Conclusion Le principal facteur de risque de survenue de complications au cours des vessies neurologiques et neurogènes a été l’hypocompliance d’où l’intérêt de l’exploration urodynamique dans la prise en charge des troubles urinaires. Objectives to determine the uronephrologic complications of neurogenic bladder and to identify the risk factors. Patents & Methods the authors carried out a retrospective study, involving 79 patients recruited at the service of Physical Medicine and Functional Readaptation of CHU IBN ROCHD of Casablanca, for a urodynamic evaluation. Patients presenting with neurogenic bladders were included. Results The average age was 20.5 years with a female predominance. Urinary disorders were dominated by leakage (51.9%). The duration of evolution was longer in pediatric patients (6.5 years). Neurogenic bladders were usually associated with a medullary lesion. Neurogenic bladders represented 55.7% of cases. Repeated urinary infections (34.2%), uterero- hydronephrosis (22.8%), vesicoureteral reflux (20.2%), and chronic terminal kidney failure (6,3%) were the main complications. These complications were most frequent in children (69.56%) and patients with hypocompliance (92.85%). Conclusion The main risk factor for complications in patients with neurologic and neurogenic bladders is hypocompliance, hence the importance of urodynamic exploration in the management of urinary disorders.
Source: African Journal of Urology - Category: Global & Universal Source Type: research