[Neurogenic disorders of bladder emptying in children].

Disturbed micturition of the neurogenic type is found in children suffering from spinal tumors and anomalies of the vertebral column. The most frequent cause is the so-called myelomeningocele. Myelodysplasia can occur in 1-2 out of every 1,000 new-born babies. Operative treatment is available today (closing the celes immediately after birth and drainage of the associated hydrocephalus) so that these children survive and their fate essentially depends on the early diagnosis and therapy of the neurogenic micturition disturbance. Urodynamic examinations and the determination of the urethra pressure profile are vital for diagnosis. Using the results four different groups can be established each requiring a specific therapy. Individual therapies must also be selected for each individual case. Apart from operative treatment, drugs and electrostimulation can be used on a large scale. The authors present their own experience and results with regard to diagnosis and therapy.