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Urology (Expert Forum)
2 Yr. old daughter with neurogenic bladder.Taking ditropan by mouth
Questions in the Urology forum are answered by Dr. Stephen Liroff, affiliated with the Henry Ford Hospital. Topics covered include benign prostate disease, penis curvature, cystisis, kidney stones, pediatric urology, prostate, sexual dysfunction, urinary tract infections (UTI), and urological cancers.
2 Yr. old daughter with neurogenic bladder.Taking ditropan by mouth
by Kim__0__0, Feb 23, 1999 12:00AM
My daughter was diagnosed with bilateral vesicoureteral at 10 months
of age.she under went surgery at 15months for that.then,she was diagnosed
with a neurogenic bladder.Due to her unusual anatomy we were
unable to cath her through her urethra.So she had another surgery.
They created a continent catheterizable stoma going from her
bladder to the surface of the abdomen.I now have to cath her
4-5 times a day. Is this a disibility? Also she is very sinsitive
to the ditropan,she gets extremly overheated.Is there another med.
that would keep her bladder from spasming as well as the
ditropan does? Her doctor says there is nothing we can do to make
her bladder start working.He is a very highly recomended doctor
and we think the world of him.Maybe he missed something.Do you
know of anything that might help her? Thank you,
Kim
of age.she under went surgery at 15months for that.then,she was diagnosed
with a neurogenic bladder.Due to her unusual anatomy we were
unable to cath her through her urethra.So she had another surgery.
They created a continent catheterizable stoma going from her
bladder to the surface of the abdomen.I now have to cath her
4-5 times a day. Is this a disibility? Also she is very sinsitive
to the ditropan,she gets extremly overheated.Is there another med.
that would keep her bladder from spasming as well as the
ditropan does? Her doctor says there is nothing we can do to make
her bladder start working.He is a very highly recomended doctor
and we think the world of him.Maybe he missed something.Do you
know of anything that might help her? Thank you,
Kim
Doctor's Answer
by hfhs M.D.-AK, Feb 23, 1999 12:00AM
_
Dear Kim,
I don’t know the specifics about your daughter’s case, but I don’t look at a catheterizable stoma to the abdomen as a total disability. There many children that have these types of catheterizable systems that function as normal children. Yes they do have to take responsibility for the stoma and may even need to irrigate their bladder occasionally, but generally they do quite well. They can play and run around just as any child would.
In terms of medications to help suppress bladder contractions or medications to relax the bladder wall to increase bladder capacity, Ditropan is an excellent drug. Sometimes this drug can be titrated (smaller dose)or even used in combination with other medications. There are however other medications such as Levsin, Levsinex, or even Detrol is used experimentally by some Pediatric urologists. Other medications used to help with leakage or high bladder pressures would include Imipramine or Tofranil, and ProBanthine, but these may not be relevant to your daughter’s condition.
You could suggest these medication to doctor and ask if he feels these medications are a safe possibility. Even if you can reduce the dose of the Ditropan and then add a second medication at low dose, you may be able to avoid the side effects.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword:Bladder instability
Dear Kim,
I don’t know the specifics about your daughter’s case, but I don’t look at a catheterizable stoma to the abdomen as a total disability. There many children that have these types of catheterizable systems that function as normal children. Yes they do have to take responsibility for the stoma and may even need to irrigate their bladder occasionally, but generally they do quite well. They can play and run around just as any child would.
In terms of medications to help suppress bladder contractions or medications to relax the bladder wall to increase bladder capacity, Ditropan is an excellent drug. Sometimes this drug can be titrated (smaller dose)or even used in combination with other medications. There are however other medications such as Levsin, Levsinex, or even Detrol is used experimentally by some Pediatric urologists. Other medications used to help with leakage or high bladder pressures would include Imipramine or Tofranil, and ProBanthine, but these may not be relevant to your daughter’s condition.
You could suggest these medication to doctor and ask if he feels these medications are a safe possibility. Even if you can reduce the dose of the Ditropan and then add a second medication at low dose, you may be able to avoid the side effects.
This information is provided for general medical educational purposes only. Please consult your physician for diagnostic and treatment options pertaining to your specific medical condition. More individualized care is available at the Henry Ford Hospital and its satellites (1 800 653-6568).
Sincerely,
HFHS M.D.-AK
*keyword:Bladder instability
