Are Urodynamic Studies Really Necessary in Voiding Dysfunction in Children?
Journal Title: HASEKİ TIP BÜLTENİ - Year 2018, Vol 56, Issue 3
Abstract
Aim: Urodynamic examination is considered the most reliable, but also a quite invasive tool for the diagnosis of voiding dysfunctions in children. In this study, we evaluated the role of invasive urodynamics in the diagnosis of lower urinary tract dysfunction in children. Methods: One thousand one hundred twenty seven patients underwent urodynamic studies in the pediatric nephrology clinic in Ege University Faculty of Medicine between March 2011 and March 2016. A retrospective analysis of data including symptoms of voiding dysfunction (urinary frequency, urgency, nocturia and/or urge incontinence) and findings of physical examination, urodynamics and ultrasonography was performed. Results: Two hundred and seventy-seven (30.8%) boys and 620 (69.1%) girls with a mean age of 7.52 (±2.6) years underwent urodynamic studies. The most common abnormality was overactive bladder detected in 630 patients (70.2%). 19.9% (n=179) of the participants had dysfunctional voiding, while 9.8% (n=88) had normal results. Conclusion: A small and frequent voiding pattern, enuresis nocturna with daytime symptoms, and postvoid urinary residual volume were the common findings seen in patients with overactive bladder. In addition, dyssynergic voiding and a bladder with large capacity but residual volume after voiding were also commonly found. To that end, we may use ultrasound, clinical examination, symptoms and voiding frequency as first-line diagnostic tools.
Authors and Affiliations
Seçil Conkar, Sevgi Mir
Keywords
Related Articles
- EP ID EP392678
- DOI 10.4274/haseki.70299
- Views 76
- Downloads 0
Problems About the Use of C-Arm Fluoroscopy in Proximal Femoral Nailing Surgery
Aim: It was aimed to determine the amount of wasted time and radiation exposure in intertrochanteric femur fracture surgeries for the use of C-arm fluoroscopy device during surgery. Methods: Records of 62 patients sustai...
Elastic Stable Intramedullary Nailing for Pediatric Forearm Fractures: A Retrospective Analysis of Thirty Four Cases
Aim: The purpose of this investigation was to present our institutional experience of 34 pediatric both bone forearm fractures treated with titanium elastic intramedullary nails. Methods: Thirty-four patients, who were...
Rehabilitation Outcomes of Operated Sprengel Deformity (Congenital High Scapula): A Case Report
Sprengel deformity (SD), also known as congenital high scapula, is a rare congenital deformity of one or both scapulae that appears at birth. It is the most common congenital deformity of the shoulder. This condition occ...
Difficult Mask Ventilation in Obese Patients: New Predictive Tests?
Aim: The aim of our study was to evaluate specific factors in predicting difficult mask ventilation (DMV) in obese patients undergoing elective surgery. Methods: This prospective and observational study was performed in...
Retroperitoneal Myelolipoma-related Cushing’s Syndrome
Myelolipoma (ML) is a benign mesenchymal tumor that can be localized in the adrenal gland and may present as an extraadrenal tumor. Extraadrenal ML can secrete cortisole rarely and cause Cushing’s syndrome findings. Radi...