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Published on: October 12, 2017
[Urodynamic disturbances among children with vesico-ureteral reflux (VUR)]
Leszek Piechuta1, Beata Bieniaś, Anna Wieczorkiewicz-Płaza
1Klinika Nefrologii Dzieciecej DSK UM w Lublinie. nowekonlp@interia.pl
Insights
Lower urinary tract dysfunction is common in children with vesicoureteral reflux (VUR). Urodynamic assessment is crucial for diagnosing and treating these urinary issues in pediatric patients.
Area of Science:
- Pediatric Urology
- Urodynamics
- Lower Urinary Tract Dysfunction
Context:
- Vesicoureteral reflux (VUR) is a condition affecting children.
- Lower urinary tract dysfunction (LUTD) is implicated in VUR pathogenesis.
- Urodynamic assessment aids in VUR diagnosis and management.
Purpose:
- To determine the incidence of urodynamic disturbances in children diagnosed with VUR.
- To identify specific types of lower urinary tract dysfunction in pediatric VUR patients.
Summary:
- A retrospective study analyzed 125 children with VUR, with 93 undergoing urodynamic assessment.
- Urodynamic disturbances were identified in 70.9% of assessed children.
- Detrusor overactivity was the most prevalent finding, followed by dysfunctional voiding and subvesical obstruction.
Impact:
- Highlights the significant role of LUTD in pediatric VUR.
- Emphasizes the utility of urodynamic testing in the comprehensive evaluation of children with VUR.
- Informs clinical practice regarding the high prevalence of voiding abnormalities in VUR patients.
Unlabelled:
Lower urinary tract dysfunction plays significant role in patogenesis of vesicoureteral reflux (VUR). Thus, urodynamic assessment is very useful in diagnosis and treatment of VUR.
Aim:
Assessment of the incidence of urodynamic disturbances among children with VUR.
Material And Methods:
Retrospective assessment of 125 children with VUR including 93 assessed urodymically.
Results:
Urodynamic disturbances were found in 58 patients (70.9% of examined children), of which--detrussor hyperactivity in 25 (43.1% of children with urodynamic disturbances), detrussor hyperactivity with subvesical obstruction or dysfunctional voiding in 6 (10.3%), dysfunctional voiding in 17 (29.3%), anatomical subvesical obstruction in 9 (15.5%), detrussor hypotony in 1 (1.7%). No disturbances were found in 27 (29.1% of examined children). Children with detrussor overactivity were the prevalent group among all children with lower urinary tract dysfunction.
Conclusions:
Children with lower urinary tract dysfunction constitute a significant part of children with VUR.
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