Medical rehabilitation of children with hydronephrosis with concomitant neurogenic bladder dysfunction

Abstract

The article presents modern technologies for medical rehabilitation of children with hydronephrosis, with concomitant neurogenic bladder dysfunction. The problem of medical rehabilitation of children with hydronephrosis is due to the high frequency of occurrence; the possibility of developing chronic kidney disease; early disability. After operations on the ureter, it is important to use medical rehabilitation technologies aimed at preventing urodynamic disorders in the upper and lower urinary tract, stimulating reparative processes. Among the medical rehabilitation technologies, in recent years, special attention has been drawn to high-intensity pulsed magnetotherapy, which has a more pronounced and lasting stimulating eff ect compared to various types of electrical stimulation. Clinical observations and special studies were conducted in 100 children with hydronephrosis, the state after surgery, aged 4 to 15 years. According to the research results: The feasibility of including high-intensity pulsed magnetotherapy in the complex of medical rehabilitation of children with hydronephrosis, with concomitant neurogenic bladder dysfunction. Medical rehabilitation, with the inclusion of high-intensity pulsed magnetotherapy, had a positive eff ect on the urodynamics of the urinary tract, renal blood fl ow, helped to stop infl ammation in the renal parenchyma and restore the urination rhythm in children with hydronephrosis, with concomitant neurogenic bladder dysfunction.