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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should We Be Concerned About Lipomyelocele And Mild Neurogenic Bladder In A Child?

My 6-year-old has a lipomyelocele that has so far never required surgery. We follow with a neurosurgeon as well as with a pediatric urologist. The urologist has told me that he has a mild neurogenic bladder that he should be able to self correct as he gets older. I am trying to get him approved for a program through Comp Care and had requested his records. I received them today and seen where he has also diagnosed him with pelviectasis. He has never told me this. Is this something I need to be concerned about?
Fri, 24 Jan 2014
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Pediatrician,  's  Response
Dear user,

The pelviectasis is something that indicates that the child did not have just a neurogenic bladder, but a mild degree of reflux. I think you need to continue his follow ups with a urologist. In my opinion, nothing needs to be done as the reflux was mild and has not caused any further kidney problems or infection.

Thank you for using HCM for addressing your query. If you need more clarification, you are welcome to address the question to me directly. This may involve payment to the site (a portion of which would also come to me).

Dr. Taher
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Should We Be Concerned About Lipomyelocele And Mild Neurogenic Bladder In A Child?

Dear user, The pelviectasis is something that indicates that the child did not have just a neurogenic bladder, but a mild degree of reflux. I think you need to continue his follow ups with a urologist. In my opinion, nothing needs to be done as the reflux was mild and has not caused any further kidney problems or infection. Thank you for using HCM for addressing your query. If you need more clarification, you are welcome to address the question to me directly. This may involve payment to the site (a portion of which would also come to me). Dr. Taher