Bladder Neck Surgery in Children With Neurogenic Bladder

Study Overview
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Brief Summary
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Surgical outcomes of bladder neck surgery in children with neurogenic bladder. Consequences on bladder voiding.

Detailed Description
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Surgical outcomes of bladder neck surgery in children with neurogenic bladder: Quality of voiding: spontaneous, need for catheterization, or incontinence. Other surgical complications.

Official Title
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Surgical Outcomes of Bladder Neck Procedures in Children With Neurogenic Bladder: a Retrospective Monocentric Study

Conditions
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Incontinence, Urinary, Bladder Dysfunction, Spina Bifida, Neurogenic Bladder

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients, with neurogenic bladder and younger than 18 years old ,who underwent a bladder neck procedure Exclusion Criteria: Patients, with neurogenic bladder and older than 18 years old ,who underwent a bladder neck procedure

Ages Eligible for Study
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Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of participants with delayed or incomplete opening of the bladder neck during the voiding phase of micturition impeding urine flow | Cysto-urethrogram and uroflowmetry help diagnose delayed or incomplete opening of the bladder neck. delayed or incomplete opening of the bladder neck | Baseline (Before surgery) | 
| Number of participants with muscular bladder | The muscular bladder has thicker walls, bladder diverticula and trabecules (diagnosed during abdominal ultrasound, urethro-cystogram and cystoscopy) | Baseline (Before surgery) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Length of stay | Length of stay | From admission to discharge home, up to 20 days | 
| The time length between the surgery date and the postoperative consultation date | Follow_up represents the time length between the surgery date and the postoperative consultation date in days, months, or years. Generally, there are a-month-follow-up, a three month-follow-up, a six month-follow-up, and a year-follow-up. The surgeon can see the patient if there is any problem between these consultations. After a year of follow-up, it is up to the surgeon to decide if the patient needs to be seen yearly or not. The last follow-up date is crucial because it indicates how the patient is and if other follow-up dates need to be applied. | Through study completion, an average of 2 years | 
| Surgical complications after bladder neck procedure | bleeding, bowel obstruction, surgical hernia, urinary stone, urinary infection | Through study completion, an average of 2 years | 
| Operating time | Operating time | Intraoperative | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Children, Bladder Neck Surgery, Surgical Outcomes, Retrospective Study