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This series studies 94 observations of neurological bladders in children. Myelomeningocele was the main etiology (72%). The presence of vesico-ureteral reflux and advanced age (greater than 12 years) at the time of management are predictive factors for poor renal function. This series clearly shows that neurovessel disease evolves as an obstructive uropathy (65%) associated with urinary incontinence, which is almost constant (97%). We have clearly shown that CPI gives excellent results and enables us to control the three problems posed by neurological bladders: urinary tract infection, deterioration of the upper urinary tract and, to a lesser degree, incontinence (1 in 2 patients). On urodynamic assessment, 80% of neurovessels were hyperactive. Intradetrusoral injection of botulinum toxin has found its place as an alternative to bladder enlargement. 84% of injected patients became clean. The safety of the injection has been proven in adults, allowing reinjections when the effect wears off.
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Licenciatura en Matemáticas en 1989.Diploma de Doctor en Medicina en junio de 1997.Diploma de Estudios Médicos en la especialidad de Cirugía Pediátrica en junio de 2004. Ayudante de Hospital Universitario en noviembre de 2005.Doctorado en Ciencias Médicas en abril de 2012Profesor Asociado HU en marzo de 2014.
