Home About us Current issue Ahead of Print Back issues Submission Instructions Advertise Contact Login   

Search Article 
Advanced search 
Saudi Journal of Kidney Diseases and Transplantation
Users online: 1640 Home Bookmark this page Print this page Email this page Small font sizeDefault font size Increase font size 

ORIGINAL ARTICLE Table of Contents   
Year : 2004  |  Volume : 15  |  Issue : 4  |  Page : 463-467
Bladder Instability and Upper Renal Tract Damage

Salmania Medical Complex, P.O. Box.12, Manama, Bahrain

Correspondence Address:
Abbas Abdul Aal
Consultant Pediatrician and Nephrologist, Salmania Medical Complex, P.O. Box.12, Manama
Login to access the Email id

Source of Support: None, Conflict of Interest: None

PMID: 17642782

Rights and PermissionsRights and Permissions

Bladder instability simulating neurogenic bladder disease is one of the commonest causes of dysfunctional voiding in children. We studied 100 cases with such problem over a five-year period; the peak age incidence was between 4-8 years. The gender distribution was 3:2 with female preponderence. Urgency and urge incontinence occurred in 80% of cases, recurrent acute cystitis in 50%, characteristic-holding postures in 15% and nocturnal enuresis in 40%. Variable degrees of bladder wall thickening and significant residual urine were seen on ultrasound examination. The patients were given anticholinergic therapy and antibiotic prophylaxis. All the patients went into complete remission within five years, many of them earlier. None needed surgical intervention although few patients had undergone surgical vesicoscopy and urethral dilation before they were referred to us. We conclude that recognition of the children with bladder instability is paramount to successful management and this will help to avoid upper renal damage and reduce the discomfort from unnecessary investigations and surgical procedures.

Print this article  Email this article

  Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
  Related articles
   Citation Manager
  Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded284    
    Comments [Add]    

Recommend this journal