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Recurrent urinary tract infection and functional voiding disorders

H Ravi Ramamurthy1, Madhuri Kanitkar

  • 1Department of Pediatrics, Armed Forces Medical College and Command Hospital, Pune 411040, India.

Indian Pediatrics
|August 30, 2008
PubMed

Insights

Recurrent urinary tract infections in children are linked to dyssynergic voiding, a specific functional voiding disorder. This finding highlights the importance of evaluating voiding patterns in children with recurrent UTIs.

Area of Science:

  • Pediatric Urology
  • Functional Voiding Disorders

Background:

  • Recurrent urinary tract infections (UTIs) are a common concern in children.
  • Functional voiding disorders can contribute to lower urinary tract symptoms and UTIs.

Purpose of the Study:

  • To investigate the association between recurrent UTIs and specific types of functional voiding disorders in children.
  • To compare bladder abnormalities in children with and without recurrent UTIs.

Main Methods:

  • Prospective evaluation of 68 children with suspected functional voiding disorders.
  • Clinical assessment and non-invasive urodynamics, with invasive urodynamics when indicated.
  • Comparison of two groups: children with recurrent UTIs (Group I) and those without (Group II).

Main Results:

  • Detrusor instability was observed in 64.7% of Group I and 88.2% of Group II (P>0.05).
  • Dyssynergic voiding was significantly more prevalent in Group I (29.4%) compared to Group II (2.9%) (P<0.05).
  • Children with recurrent UTIs were more likely to exhibit dyssynergic voiding.

Conclusions:

  • Dyssynergic voiding is a significant underlying factor in children experiencing recurrent urinary tract infections.
  • Assessment of voiding patterns is crucial for managing children with recurrent UTIs.

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