Editorial Comment

Abstract

Non-neurogenic neurogenic bladder is a term used to describe a form of bladder-sphincteric dysfunction in children. It is typically characterized by a combination of urinary incontinence, impaired and inefficient emptying, and recurrent urinary tract infections. Bowel dysfunction, including constipation and encopresis, are also common. The clinical and urodynamic sequelae are often identical to those in children with neurogenic bladder, except that no neurologic pathologic features can be demonstrated on physical examination or radiographic imaging. The urodynamic evaluation will reveal detrusor-external sphincter dyssynergia, and the urinary tract decompensation can range from diurnal incontinence to elevated postvoid residual urine volumes to upper tract deterioration from vesicoureteral reflux, elevated filling pressures, and impaired bladder compliance. The treatment of this condition has been aimed at restoring low-pressure urinary storage and efficient, timely bladder emptying. Urofacial Syndrome: A Subset of Neurogenic Bladder Dysfunction Syndromes?UrologyVol. 78Issue 4PreviewThe urofacial syndrome (Ochoa syndrome) is considered to represent a subgroup of the non-neurogenic bladder dysfunction, characterized by non-neuropathic bladder-sphincter dysfunction, along with a characteristic inversion of the facial expression with laughing. Recent research suggests that it is probably a genetic inherited disease transmitted in an autosomal recessive fashion and might represent a distinct entity. We report a case of this syndrome in a 14-year-old boy who presented with left pyelonephritis, hydronephrosis, and bladder dilation. Full-Text PDF ReplyUrologyVol. 78Issue 4PreviewNon-neurogenic neurogenic bladder (NNNB) lies at the most severe end of the spectrum of the non-neurogenic elimination disorders in children.1 When Ochoa and Gorlin2 reported their results in 1987, 33% of the 66 patients had renal functional impairment, 26% had hypertension, and 24% had end-stage renal failure. Full-Text PDF