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Related Experiment Videos

Natural history of voiding dysfunction.

Nancy A Saedi1, Seth L Schulman

  • 1Division of Pediatric Urology, The Children's Hospital of Philadelphia, 34th and Civic Center Boulevard, Philadelphia, PA 19104, USA.

Pediatric Nephrology (Berlin, Germany)
|July 29, 2003
PubMed
Summary

Children with voiding dysfunction, including daytime and night-time wetting, often improve with maturation. This study shows high satisfaction and resolution rates for pediatric voiding dysfunction treatment.

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Voiding dysfunction in children.

The Urologic clinics of North America·2004

Area of Science:

  • Pediatric Urology
  • Child Health
  • Urology

Background:

  • Voiding dysfunction in children presents as daytime wetting, night-time wetting, and recurrent urinary tract infections (UTIs).
  • An interdisciplinary center has treated children with dysfunctional voiding since 1992.

Purpose of the Study:

  • To describe the long-term follow-up of a large cohort of children treated for voiding dysfunction.
  • To assess the effectiveness of a specific treatment approach and patient/parent satisfaction.

Main Methods:

  • Retrospective review of 199 children with voiding dysfunction symptoms (March 1992 - December 1993).
  • Follow-up contact with 98 parents and 51 patients at least 6.5 years post-initial evaluation.
  • Inquiry about current symptoms, treatment effectiveness, and satisfaction with care.

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Main Results:

  • Of 90 patients with daytime wetting, 91% reported complete resolution within a median of 2.9 years.
  • Long-term follow-up showed all contacted patients were dry, with 86% reporting no urgency.
  • High satisfaction rates were reported: 86% of parents and 87% of patients were highly satisfied.

Conclusions:

  • Most children with voiding dysfunction experience significant improvement, often within 5 years of initial evaluation.
  • Maturation appears to be a key factor in the resolution of symptoms.
  • The treatment approach demonstrated high patient and parent satisfaction and effective long-term outcomes.