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[Bladder with non-coordinated voiding: urodynamics and clinical correlations].

R Martín-Crespo Izquierdo1, R Luque Mialdea

  • 1Unidad de Urodinámica, Hospital Ntra. Sra. del Rosario, Madrid.

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|November 26, 1999
PubMed
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Pediatric non-coordinated voiding, characterized by sphincter constriction, can be treated with voiding reeducation and medication. Early diagnosis and treatment are crucial to prevent potential kidney damage.

Area of Science:

  • Pediatric Urology
  • Pediatric Nephrology

Background:

  • Non-coordinated voiding is a condition affecting children, often presenting with urinary tract infections and voiding dysfunction.
  • Urodynamic studies reveal sphincter constriction and increased post-voiding residual urine volume in affected children.

Purpose of the Study:

  • To investigate the urodynamic pattern changes and clinical correlations following voiding reeducation and pharmacological treatment in pediatric patients.
  • To assess the effectiveness of a combined treatment approach for non-coordinated voiding.

Main Methods:

  • Prospective follow-up of 25 female children diagnosed with non-coordinated voiding.
  • Treatment included voiding reeducation, anticholinergics, antibiotic prophylaxis, and muscle relaxants.
  • Urodynamic studies were performed at baseline and during follow-up (mean 22 months).

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Main Results:

  • All patients showed sphincter constriction and increased post-voiding residual urine volume; 80% had bladder instability.
  • Clinical remission preceded urodynamic remission in all cases.
  • Two patients experienced clinical recurrence after treatment cessation before urodynamic normalization.

Conclusions:

  • Non-coordinated voiding in children requires timely diagnosis and intervention.
  • Combined therapeutic strategies can lead to clinical improvement, but long-term urodynamic normalization is essential.
  • Early management is vital to prevent potential progression to renal failure.