{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:31:39Z","timestamp":1786739499992,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T00:00:00Z","timestamp":1740960000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>Children with high-pressure bladders are at an increased risk of upper tract deterioration, potentially leading to chronic renal failure if not adequately managed. Regular bladder pressure monitoring is essential, especially in patients with neurogenic bladders, often resulting from spinal dysraphism. Urodynamic studies (UDSs) are the gold standard for assessing bladder pressure but are invasive, resource-intensive, and uncomfortable for patients. Over the last many decades, there have been regular attempts to characterize the morphology of the neurogenic bladder, including the classical subjective appearance of the \u201cChristmas Tree\u201d bladder, to objectively define the shape of the bladder via the use of height-to-width ratio. The study explores the evolution of scientific efforts to define bladder morphology in neurogenic bladder and to describe the current state of evidence regarding the correlation of the shape of the bladder with the detrusor pressures and upper tract changes in children with neurogenic bladder.<\/jats:p>","DOI":"10.4103\/jiaps.jiaps_247_24","type":"journal-article","created":{"date-parts":[[2025,3,4]],"date-time":"2025-03-04T08:00:11Z","timestamp":1741075211000},"page":"265-270","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Evolution of Scientific Efforts to Define Cystometric Bladder Morphology in Neurogenic Bladder: A Narrated Review"],"prefix":"10.4103","volume":"30","author":[{"given":"Arvind","family":"Sinha","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shrilakshmi","family":"Aithal","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,3,3]]},"reference":[{"key":"R1-20250505","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/S0022-5347(17)54449-3","article-title":"Prognostic value of urodynamic testing in myelodysplastic patients","volume":"126","author":"McGuire","year":"1981","journal-title":"J Urol"},{"key":"R2-20250505","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1016\/S0022-5347(17)36148-7","article-title":"What volume can a child normally store in the bladder at a safe pressure?","volume":"149","author":"Houle","year":"1993","journal-title":"J Urol"},{"key":"R3-20250505","doi-asserted-by":"crossref","first-page":"3525","DOI":"10.1007\/s00261-018-1648-3","article-title":"The \u201cChristmas tree\u201d bladder","volume":"43","author":"Hirshberg","year":"2018","journal-title":"Abdom Radiol (NY)"},{"key":"R4-20250505","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/S0022-5347(05)63951-1","article-title":"Structural basis of neurogenic bladder dysfunction. II. Myogenic basis of detrusor hyperreflexia","volume":"169","author":"Haferkamp","year":"2003","journal-title":"J Urol"},{"key":"R5-20250505","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1148\/76.5.795","article-title":"The radiographic findings in neurogenic bladder","volume":"76","author":"Friedenberg","year":"1961","journal-title":"Radiology"},{"issue":"Suppl 1","key":"R6-20250505","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1159\/000282252","article-title":"Bladder deformities in patients with neurogenic bladder dysfunction","volume":"47","author":"Ogawa","year":"1991","journal-title":"Urol Int"},{"key":"R7-20250505","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1111\/j.1464-410X.2007.07164.x","article-title":"Severe bladder trabeculation obviates the need for bladder outlet procedures during augmentation cystoplasty in incontinent patients with neurogenic bladder","volume":"101","author":"Khoury","year":"2008","journal-title":"BJU Int"},{"key":"R8-20250505","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1016\/j.jpurol.2020.03.007","article-title":"Development and validation of a bladder trabeculation grading system in pediatric neurogenic bladder","volume":"16","author":"Selby","year":"2020","journal-title":"J Pediatr Urol"},{"key":"R9-20250505","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.jpurol.2012.05.002","article-title":"Is a closed bladder neck on preoperative videourodynamic studies an important factor for continence following augmentation ileocystoplasty in myelodysplastic patients?","volume":"9","author":"Ghanem","year":"2013","journal-title":"J Pediatr Urol"},{"key":"R10-20250505","doi-asserted-by":"crossref","first-page":"839.e1","DOI":"10.1016\/j.jpurol.2020.09.015","article-title":"A simple screening tool for an unfavorable bladder in children with myelomeningocele: Is the height to width ratio of the cystogram useful to predict high-pressure bladder?","volume":"16","author":"Kumano","year":"2020","journal-title":"J Pediatr Urol"},{"key":"R11-20250505","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1007\/s00383-024-05696-y","article-title":"Bladder height to width ratio as a surrogate marker for non-physiological storage pressures in children with spinal dysraphism","volume":"40","author":"Aithal","year":"2024","journal-title":"Pediatr Surg Int"}],"container-title":["Journal of Indian Association of Pediatric Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_247_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:29:24Z","timestamp":1786735764000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_247_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,3]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jiaps.jiaps_247_24","relation":{},"ISSN":["0971-9261","1998-3891"],"issn-type":[{"value":"0971-9261","type":"print"},{"value":"1998-3891","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,3]]},"assertion":[{"value":"2024-10-23","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-19","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}