末期腎不全を呈した二分脊椎症による神経因性膀胱の2例

Abstract

We report two cases of neurogenic bladder due to spina bifida which resulted in end-stage renal failure, and critically review their clinical courses. The following were concluded to be important for successful urological management of spina bifida patients. First, urological management should be initiated as soon after birth as possible ; this requires adequate recognition by the physician of the presence of the concomitant neurogenic bladder. Second, once renal parenchymal damage appears, not only management of the urinary tract, but also general management, i. e. diet therapy etc., should be initiated in order to prevent the progress of the renal dysfunction. We also emphasize the closer follow-up is necessary for patients in their adolescence when they are required to start self-management of their handicaps including neurogenic bladder.