**3. Follow-up protocol according to age**

The main priority at the moment of birth is the closure of the spinal defect, as neurological complications are the main cause of morbidity and mortality during the first year of life; followed by urological complications. Specialized treatment centers state that the urological management should start immediately with intermittent catheterizations and anticholinergic medications due to the risk of collagen deposition in the bladder wall and consequent increased risk of upper urinary tract damage. In fact, each of the steps toward the management of this congenital disease are complex and the decisions may vary. [7]
