67 -7 (81) 2025 - Fayzimurodov F.T., Gaybiyev А.А. - PRIMARY NEUROLOGICAL APPROACH IN PEDIATRIC PATIENTS WITH PELVIC ORGAN DYSFUNCTION FOLLOWING SURGICAL TREATMENT OF CONGENITAL SPINAL MENINGOCELE

PRIMARY NEUROLOGICAL APPROACH IN PEDIATRIC PATIENTS WITH PELVIC ORGAN DYSFUNCTION FOLLOWING SURGICAL TREATMENT OF CONGENITAL SPINAL MENINGOCELE

Fayzimurodov F.T., - Samarkand State Medical University

Gaybiyev А.А. - Samarkand State Medical University

Resume

This article focuses on the primary neurological approach in cases of late complications observed in children who underwent neurosurgical intervention for congenital spinal meningocele, particularly those presenting with neurogenic dysfunction of pelvic organs such as the urinary bladder and rectum. Within the framework of the study, the functional status of the patients was comprehensively assessed through clinical-neurological examinations, magnetic resonance imaging (MRI), urodynamic studies, electromyography (EMG), and ultrasonographic diagnostics. Special attention was paid to manifestations associated with damage to the lower spinal cord segments (S2–S4), including neurogenic bladder, loss of anal reflex, impaired perineal sensation, and signs of muscular denervation. The advantages of early diagnosis, multidisciplinary management, rehabilitation strategies, and neuro-urological monitoring in improving quality of life and social integration in pediatric patients were substantiated

Keywords: meningocele, spina bifida, neurogenic bladder, neurological dysfunction, pediatric neurology, urodynamics

First page

350

Last page

356

For citation:Fayzimurodov F.T., Gaybiyev А.А. - PRIMARY NEUROLOGICAL APPROACH IN PEDIATRIC PATIENTS WITH PELVIC ORGAN DYSFUNCTION FOLLOWING SURGICAL TREATMENT OF CONGENITAL SPINAL MENINGOCELE//New Day in Medicine 7(81)2025 350-356 https://newdayworldmedicine.com/en/new_day_medicine/7-81-2025

List of References

  1. Bowman RM, Tulipan N, et al. Spina bifida outcomes and predictors of urological dysfunction. J Urol. 2001;166(5):2027–2031.
  2. Kogan BA. Neurogenic bladder in children. Curr Opin Urol. 2001;11(6):563–567.
  3. Dias MS, Partington M. Embryology of myelomeningocele and anencephaly. Neurosurg Focus. 2004;16(2):1–16.
  4. Verhoef M, Barf HA, et al. Functional outcomes of adolescents and young adults with spina bifida. Dev Med Child Neurol. 2004;46(6):420–427.
  5. Bauer SB. The management of the myelodysplastic child. Clin Pediatr. 2000;39(7):389–397.
  6. Tarcan T, Onal B, et al. Urodynamic evaluation of children with neurogenic bladder. J Urol. 2002;168(4):1749–1752.
  7. Siffel C, Wong LY, et al. Spina bifida and mortality in the United States. Birth Defects Res A Clin Mol Teratol. 2010;88(9):693–698.
  8. De Jong TPVM, Klijn AJ. Dysfunction of the lower urinary tract in children: an update. Curr Opin Urol. 2011;21(4):319–324.
  9. Castellan M, Gosalbez R. Urodynamics in pediatric neurogenic bladder. Urol Clin North Am. 2010;37(2):215–224.
  10. Kriss VM, Kriss TC. Urodynamic testing in children with spina bifida. Radiol Clin North Am. 2002;40(2):355–366.

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