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Related Experiment Videos

Bladder dysfunction in children with vesico-ureteric reflux.

U Sillén1

  • 1Department of Paediatric Surgery, Sahlgrenska University Hospital, Göteborg, Sweden.

Acta Paediatrica (Oslo, Norway : 1992). Supplement
|December 10, 1999
PubMed
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Vesico-ureteric reflux in children is linked to bladder dysfunction, especially severe forms. Assessing bladder issues is crucial for managing reflux and preventing kidney damage.

Area of Science:

  • Pediatric Urology
  • Nephrology
  • Urodynamics

Background:

  • Vesico-ureteric reflux (VUR) and non-neurogenic bladder dysfunction are closely related in children.
  • Severe detrusor-sphincter dyscoordination, a form of bladder dysfunction, is causally linked to VUR and can cause kidney damage.
  • Urodynamic studies show a high frequency of bladder instability and/or detrusor-sphincter dyscoordination in children with VUR.

Purpose of the Study:

  • To highlight the association between VUR and bladder dysfunction.
  • To emphasize the importance of assessing bladder dysfunction in children with VUR.
  • To discuss the implications of bladder dysfunction on VUR management and prognosis.

Main Methods:

  • Review of existing urodynamic studies and clinical findings.

Related Experiment Videos

  • Analysis of the relationship between bladder instability, detrusor-sphincter dyscoordination, and VUR.
  • Consideration of treatment outcomes and prognostic factors.

    • Main Results:

    • Bladder dysfunction, particularly detrusor-sphincter dyscoordination, is frequently observed in children with VUR.
    • Bladder dysfunction is associated with kidney damage when it involves functional outflow obstruction.
    • Treatment of bladder dysfunction may improve spontaneous VUR resolution and is a positive prognostic factor post-antireflux surgery.

    Conclusions:

    • Children with VUR on chemoprophylaxis before surgery require thorough assessment for bladder dysfunction.
    • Bladder dysfunction is a critical factor to consider in the management of pediatric VUR, especially with recurrent UTIs.
    • Early identification and management of bladder dysfunction can positively impact VUR outcomes and prevent renal sequelae.