The Turkish consensus recommendations on the nephro-urological management of myelomeningocele in children and adolescents


Onder E. N. A., Dogan C. S., Tiryaki S., DÖNMEZ M. İ., Gokceoglu A. U., Tayfur A. C., ...More

JOURNAL OF PEDIATRIC UROLOGY, vol.22, no.2, 2026 (SCI-Expanded, Scopus) identifier identifier identifier

  • Publication Type: Article / Review
  • Volume: 22 Issue: 2
  • Publication Date: 2026
  • Doi Number: 10.1016/j.jpurol.2026.105734
  • Journal Name: JOURNAL OF PEDIATRIC UROLOGY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
  • Istanbul University Affiliated: Yes

Abstract

Objective Myelomeningocele (MMC) is the most common cause neurogenic bladder dysfunction in children. Adequate assessment and management can prevent complications of MMC. The objective of this study provide a comprehensive update on the diagnostic approaches, treatment strategies, and followprotocols for MMC in Turkish pediatric patients. Methods October 2024, a consensus committee, established with the participation of the Turkish Society Pediatric Nephrology, the Society for Pediatric Urology, and the Turkish Pediatric Urology Association, met to review the literature and update a national consensus report addressing the nephro urological management of myelomeningocele in children and adolescents. Results The consensus group discussed and formulated recommendations on the diagnosis, treatment, and follow-up of children with MMC, based on available evidence and expert consensus where evidence was limited. Conclusions Newborns with MMC should undergo an early ultrasound as soon as possible after birth, and clean intermittent catheterization should be initiated promptly. A lifelong multidisciplinary follow-up, including attention to transition to adult care, is required for optimal management.