{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T18:21:23Z","timestamp":1790014883950,"version":"4.0.1"},"reference-count":72,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2010,4,20]],"date-time":"2010-04-20T00:00:00Z","timestamp":1271721600000},"content-version":"vor","delay-in-days":109,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dev Disabil Res Revs"],"published-print":{"date-parts":[[2010,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The urologist plays an important role in the multidisciplinary team of physicians who provide care for patients with spina bifida. We review common strategies for managing the urinary tract in these patients. The primary objective in all phases of life is protecting kidney function by minimizing bladder hostility and establishing a good capacity, low\u2010pressure urinary reservoir. Ensuring adequate bladder and bowel continence is also paramount for enhancing self\u2010esteem and independence. Medical therapy incorporating clean intermittent catheterization and antimuscarinic medication is the cornerstone of neurogenic bladder management and often the only intervention required to achieve the above goals. Others may require formal lower urinary tract reconstruction to prevent urinary tract deterioration. As will be shown, current management, while effective, is not supported by strong evidence\u2010based protocols; and the impact of any intervention upon quality of life, while subjectively seen as positive, does not have objective validation. These limitations are recognized and currently the subject of urologic investigation. \u00a9 2010 Wiley\u2010Liss, Inc. Dev Disabil Res Rev 2010;16:88\u201395.<\/jats:p>","DOI":"10.1002\/ddrr.92","type":"journal-article","created":{"date-parts":[[2010,4,21]],"date-time":"2010-04-21T00:47:25Z","timestamp":1271810845000},"page":"88-95","source":"Crossref","is-referenced-by-count":40,"title":["Urologic management of spina bifida"],"prefix":"10.1002","volume":"16","author":[{"given":"Douglass B.","family":"Clayton","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"John W.","family":"Brock","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David B.","family":"Joseph","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2010,4,20]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.08.146"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)00070-1"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2007.05.171"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68438-9"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.05.062"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1984.03350050038023"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2004.tb00467.x"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.3171\/2008.12.PEDS0874"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000056005"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2008.04.006"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000125200.13430.8a"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2007.08.124"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)38798-0"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)38985-1"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.04.086"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)64515-6"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2005.12.056"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)66914-3"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2004.tb00468.x"},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.1159\/000123614"},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2009.01.005"},{"key":"e_1_2_1_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.02.065"},{"key":"e_1_2_1_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000155248.57049.4e"},{"key":"e_1_2_1_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(09)60884-3"},{"key":"e_1_2_1_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)67599-4"},{"key":"e_1_2_1_27_1","doi-asserted-by":"publisher","DOI":"10.1159\/000120739"},{"key":"e_1_2_1_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/ddrr.90"},{"key":"e_1_2_1_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)65596-6"},{"key":"e_1_2_1_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)67191-1"},{"key":"e_1_2_1_31_1","doi-asserted-by":"publisher","DOI":"10.3171\/foc.2004.16.2.8"},{"key":"e_1_2_1_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2008.06.003"},{"key":"e_1_2_1_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(09)61569-X"},{"key":"e_1_2_1_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)68069-8"},{"key":"e_1_2_1_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20304"},{"key":"e_1_2_1_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.07.077"},{"key":"e_1_2_1_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/0885066607310240"},{"key":"e_1_2_1_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)61055-3"},{"key":"e_1_2_1_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2007.03.162"},{"key":"e_1_2_1_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)00055-8"},{"key":"e_1_2_1_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-006-0032-x"},{"key":"e_1_2_1_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(06)00615-X"},{"key":"e_1_2_1_43_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000138847.14680.7d"},{"key":"e_1_2_1_44_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2007.05.071"},{"key":"e_1_2_1_45_1","doi-asserted-by":"publisher","DOI":"10.1080\/00365590802273218"},{"key":"e_1_2_1_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.02.060"},{"key":"e_1_2_1_47_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000177730.12867.00"},{"key":"e_1_2_1_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/0140-6736(90)92834-5"},{"key":"e_1_2_1_49_1","unstructured":"Management of Myelomeningocele Trial.2009. Management of Myelomeningocele Trial.http:\/\/clinicaltrialsgovNCT00060606."},{"key":"e_1_2_1_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)64428-X"},{"key":"e_1_2_1_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.03.126"},{"key":"e_1_2_1_52_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.110.6.1193"},{"key":"e_1_2_1_53_1","first-page":"297","article-title":"Cystostomie continent trans\u2010appendiuclaire dans le traitement des vessies neruologiques","volume":"21","author":"Mitrofanoff P","year":"1980","journal-title":"Chir Pediatr"},{"key":"e_1_2_1_54_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000117865.98229.e5"},{"key":"e_1_2_1_55_1","unstructured":"NoyesE JosephD.2009.Urologic management of neonates with spina bifida. Proceedings of the First World Congress on Spina Bifida Research and Care Orlando FL March 2009."},{"key":"e_1_2_1_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.07.064"},{"key":"e_1_2_1_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2007.07.009"},{"key":"e_1_2_1_58_1","doi-asserted-by":"publisher","DOI":"10.1002\/ddrr.96"},{"key":"e_1_2_1_59_1","doi-asserted-by":"publisher","DOI":"10.1002\/ddrr.98"},{"key":"e_1_2_1_60_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2008.08.050"},{"key":"e_1_2_1_61_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2009.02.035"},{"key":"e_1_2_1_62_1","first-page":"41","article-title":"Autoaugmentation of the bladder","volume":"4","author":"Snow BW","year":"1992","journal-title":"Contemp Urol"},{"key":"e_1_2_1_63_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000140194.87974.56"},{"key":"e_1_2_1_64_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(01)01367-X"},{"key":"e_1_2_1_65_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005392-200102000-00070"},{"key":"e_1_2_1_66_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.04.042"},{"key":"e_1_2_1_67_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2006.06.036"},{"key":"e_1_2_1_68_1","doi-asserted-by":"publisher","DOI":"10.1159\/000028645"},{"key":"e_1_2_1_69_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.10.042"},{"key":"e_1_2_1_70_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-007-0691-z"},{"key":"e_1_2_1_71_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000158072.31086.af"},{"key":"e_1_2_1_72_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)64116-X"},{"key":"e_1_2_1_73_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)66180-0"}],"container-title":["Developmental Disabilities Research Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fddrr.92","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ddrr.92","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T08:35:35Z","timestamp":1694507735000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ddrr.92"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,1]]},"references-count":72,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2010,1]]}},"alternative-id":["10.1002\/ddrr.92"],"URL":"https:\/\/doi.org\/10.1002\/ddrr.92","archive":["Portico"],"relation":{},"ISSN":["1940-5510","1940-5529"],"issn-type":[{"value":"1940-5510","type":"print"},{"value":"1940-5529","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,1]]}}}