Hinman syndrom: About 33 cases

Abstract

Hinman syndrome or neurogenic non neurogenic bladder is a severe voiding dysfunction of children. The objective of this study is to review its pathology and uronephrologic complications. A retrospective study, descriptive and analytical of 33 urodynamic explorations of children with Hinman syndrome, sent to the Physical Medicine and Rehabilitation department between January 2011 and September 2014. The criteria for inclusion are based on the presence of urinary disorders in children without confirmed neurological disease. Thirty-three children were collected in this study. Sociodemographic data showed that there was a female predominance, the mean age of symptoms was 5 ± 1.7 years old. Urinary incontinence was the main symptom of bladder-sphincter dysfunction,the impact on the upper urinary tract as vesico-ureteral reflux in 11 cases (33.3%)of ureterohydronephrosis in 10 cases (30.3%). Our study showed 4 cases (12.20%) severe bladder trabeculation. Diagnosis of Hinman syndrome in children is based on well-defined criteria, clinical examination and complete paraclinical is necessary for the elimination of a neurogenic bladder. Diagnosis and early management of the disease is critical to minimize the onset of complications involving the functional and vital prognosis.