I gave birth to twins in the 25th week of pregnancy. One of the sons had a Botalla ductus arteriosus closure surgery (in the third week of life), previously diagnosed with 2nd and 4th degree intraventricular haemorrhages. Since the operation, my son has had kidney problems - he doesn't pee without medication (for about a week). The attending physician (neonatologist) believes that the kidney problems are related to the brain damage that has occurred due to strokes. Could it really be related? Is there a chance that the kidneys will start working? What threatens my son with urine retention in the body?

Damage to the Central Nervous System contributes to the development of neurogenic bladder dysfunction, in which the "poorly controlled bladder" causes residual urine in the bladder after it has been donated, urinary tract infections and may cause kidney damage. For this reason, the type of neurogenic bladder dysfunction should be diagnosed as soon as possible and appropriate treatment initiated.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Lidia Skobejko-Włodarska

Specialist in pediatric urology and surgery. She obtained the title of European specialist in pediatric urology - fellow of the European Academy for Pediatric Urology (FEAPU). For many years he has been dealing with the treatment of bladder and urethral dysfunction, especially neurogenic vesico-urethral dysfunction (neurogenic bladder) in children, adolescents and young adults, using for this purpose not only pharmacological and conservative but also surgical methods. She was the first in Poland to start large-scale urodynamic tests, allowing to determine the function of the bladder in children. He is the author of many works on bladder dysfunction and urinary incontinence.

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