Abstract
ObjectivesTo determine the uronephrologic complications of neurogenic bladder and to identify the risk factors. Patients & MethodsThe authors carried out a retrospective study, involving 79 patients recruited at the service of Physical Medicine and Functional Readaptation of CHU IBN ROCHD of Casablanca, for a urodynamic evaluation. Patients presenting with neurogenic bladders were included. ResultsThe average age was 20.5 years with a female predominance. Urinary disorders were dominated by leakage (51.9%). The duration of evolution was longer in pediatric patients (6.5 years). Neurogenic bladders were usually associated with a medullary lesion. Neurogenic bladders represented 55.7% of cases. Repeated urinary infections (34.2%), uterero- hydronephrosis (22.8%), vesicoureteral reflux (20.2%), and chronic terminal kidney failure (6,3%) were the main complications. These complications were most frequent in children (69.56%) and patients with hypocompliance (92.85%). ConclusionThe main risk factor for complications in patients with neurologic and neurogenic bladders is hypocompliance, hence the importance of urodynamic exploration in the management of urinary disorders.
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