Approach to the choice of methods for correction of neurogenic bladder dysfunction in children

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Abstract

Currently, parents of various specialties are turning to doctors with complaints of urination disorders in children, which is manifested by urinary incontinence during the daytime, imperative urges and enuresis. These disorders are associated with functional disorders, if there are no malformations of the spinal cord resulting from the immaturity of the growing organism or may be the cause of the detrimental effect of the “benefits” of civilization on the emerging organism. The function of the lower urinary tract consists of the friendly but opposite activity of the detrusor and sphincter. We have a wide range of medicines, treatment methods, biofeedback and physiotherapy, but the so-called “golden standard” of treatment does not yet exist. Each of these methods should be prescribed according to clearly identified diagnostic criteria.

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About the authors

Timofei L. Bozhendaev

Pirogov Russian National Research Medical University; Speransky Children's City Clinical Hospital №9

Author for correspondence.
Email: dr.bozhendaev@gmail.com
ORCID iD: 0000-0002-8819-0771

Cand. Sci. (Med.), Pirogov Russian National Research Medical University, Speransky Children's City Clinical Hospital №9

Russian Federation, Moscow; Moscow

Natalia B. Guseva

Pirogov Russian National Research Medical University; Speransky Children's City Clinical Hospital №9; Russian Medical Academy of Continuous Professional Education

Email: guseva-n-b@yandex.ru
ORCID iD: 0000-0002-1583-1769

D. Sci. (Med.), Russian Medical Academy of Continuous Professional Education, Pirogov Russian National Research Medical University, Speransky Children's City Clinical Hospital №9

Russian Federation, Moscow; Moscow; Moscow

Aleksei I. Krapivkin

Speransky Children's City Clinical Hospital №9; Interregional Institute for Personnel Training

Email: krapivkin@list.ru

D. Sci. (Med.), Interregional Institute for Personnel Training, Speransky Children's City Clinical Hospital №9

Russian Federation, Moscow; Moscow

Evgeny Ia. Gatkin

Speransky Children's City Clinical Hospital №9; Interregional Institute for Personnel Training

Email: eugatkin@mail.ru

D. Sci. (Med.), Prof., Interregional Institute for Personnel Training, Speransky Children's City Clinical Hospital №9

Russian Federation, Moscow; Moscow

References

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  6. Гаткин Е.Я., Гусева Н.Б., Хлебутина Н.С. Реабилитационные комплексы ЛФК для детей с патологией мышц тазового дна. В кн.: Способы коррекции нейрогенной дисфункции мочевого пузыря у детей. Под ред. Н.Б. Гусевой, Е.Я. Гаткина. М., 2022; с. 53-6 [Gatkin EIa, Guseva NB, Khlebutina NS. Reabilitatsionnye kompleksy LFK dlia detei s patologiei myshts tazovogo dna. V kn.: Sposoby korrektsii neirogennoi disfunktsii mochevogo puzyria u detei. Pod red. NB Gusevoi, EIa Gatkina. Moscow, 2022; p. 53-6 (in Russian)].
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Supplementary files

Supplementary Files
Action
1. Fig. 1. Diary of urination and defecation.

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2. Fig. 2. Session of laser therapy: a - impact in the projection of the bladder; b - impact on the meatus area.

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