2024-03-29T15:57:38Z
https://niigata-u.repo.nii.ac.jp/oai
oai:niigata-u.repo.nii.ac.jp:00006540
2022-12-15T04:31:03Z
453:456
471:537:568:633
Reflux Nephropathy and Lower Urinary Tract Function in Patients with Spina Bifida
Reflux Nephropathy and Lower Urinary Tract Function in Patients with Spina Bifida
Takahashi, Hitoshi
Hatano, Akihiko
Obara, Kenji
Takeda, Masayuki
Katayama, Yasushi
Tsutsui, Toshiki
Sato, Shotaro
Vesicoureteral reflux, pyelonephritis, a low compliance bladder, and urethral overactivity are thought to be risk factors for renal deterioration in patients with spina bifida. We studied the relationship between these factors and renal function as shown by intravenous pyelography or ^<99rn>Tc-dimercaptosuccinic acid (DMSA) renal uptake in spina bifida patients. All four factors were found to be related to upper tract deterioration, and especially reflux was closely related to renal function. In addition, we studied the changes of filling cystometry parameters after antireflux surgery in spina bifida patients with secondary reflux. After antireflux surgery, the bladder capacity, maximum resting pressure, and bladder compliance all changed, and in patients who had grade 4 or 5 reflux, the changes were quite marked.
Niigata University School of Medicine
1992-03
eng
departmental bulletin paper
http://hdl.handle.net/10191/33412
https://niigata-u.repo.nii.ac.jp/records/6540
AA00508361
05677734
Acta medica et biologica
Acta medica et biologica
40(Supplement)
11
16
https://niigata-u.repo.nii.ac.jp/record/6540/files/40(Suppl.)_11-16.pdf
application/pdf
681.7 kB
2019-08-06