My son was born with bladder overturning and is after stage 1 surgery. She is currently 2 years old. According to medical checks, everything is fine so far. Now, on December 16, he will have a voiding cystograph done. What are the chances of incontinence after these operations and that she will lead a normal life?
After the first stage of the operation, the child has no urinary incontinence, because then it is only the placement of the reconstructed bladder under the integuments and the urinary continence mechanism is not "restored". The second stage of treatment is aimed at the reconstruction of the so-called bladder neck, urethra and penis with the restoration of the urinary continence mechanism. This step depends on the bladder capacity and the child should have the bladder capacity measured under general anesthesia before this. After stage II, there are three options for continence - the child is still not urinating for various reasons; keeps well and urinates properly keeps well and has problems urinating and then requires catheterization.
Remember that our expert's answer is informative and will not replace a visit to the doctor.
Lidia Skobejko-WłodarskaSpecialist 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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