Urethral dilation improves bladder compliance in children with myelomeningocele and high leak point pressures.

Bloom, D A; Knechtel, J M; McGuire, E J · J Urol · 1990

case_series · Level IV

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Abstract

Among 350 children with myelomeningocele 18 with elevated leak point pressures were managed by urethral dilation and followed for 1 to 5 years. Longitudinal measurements of bladder compliances revealed durable improvement in the pressure-volume relationships after dilation. These data suggest that noncompliant bladders are acquired because of high outlet resistance, and early intervention may improve long-term bladder storage characteristics.

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