The Turkish consensus recommendations on the nephro-urological management of myelomeningocele in children and adolescents.

OBJECTIVE

Myelomeningocele (MMC) is the most common cause of neurogenic bladder dysfunction in children. Adequate assessment and management can prevent complications of MMC. The objective of this study is to provide a comprehensive update on the diagnostic approaches, treatment strategies, and follow-up protocols for MMC in Turkish pediatric patients.

METHODS

In October 2024, a consensus committee, established with the participation of the Turkish Society for Pediatric Nephrology, the Society for Pediatric Urology, and the Turkish Pediatric Urology Association, met to review the literature and update a national consensus report addressing the nephro-urological management of myelomeningocele in children and adolescents.

RESULTS

The consensus group discussed and formulated recommendations on the diagnosis, treatment, and follow-up of children with MMC, based on available evidence and expert consensus where evidence was limited.

CONCLUSIONS

Newborns with MMC should undergo an early ultrasound as soon as possible after birth, and clean intermittent catheterization should be initiated promptly. A lifelong multidisciplinary follow-up, including attention to transition to adult care, is required for optimal management.