[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.
Abstract

Related Concept Videos

Urodynamic Studies: Uroflowmetry01:19

Urodynamic Studies: Uroflowmetry

Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
Disorders of the Urinary System01:20

Disorders of the Urinary System

The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Imaging Studies VI: Voiding Cystourethrography and Cystography01:22

Imaging Studies VI: Voiding Cystourethrography and Cystography

Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
The Micturition Reflex01:26

The Micturition Reflex

Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating urine...
Ureters01:22

Ureters

The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...
Nursing Assessment of the Genitourinary System III: Percussion and Auscultation01:22

Nursing Assessment of the Genitourinary System III: Percussion and Auscultation

The genitourinary system maintains the body's fluid balance, waste excretion, and overall homeostasis. Proper assessment is essential for early detection of disorders, with percussion and auscultation integral to this evaluation. These methods help identify signs of kidney or bladder issues and provide important diagnostic clues.Percussion for Kidney TendernessPercussion is used to assess tenderness and detect kidney and bladder abnormalities. A common method for determining kidney tenderness...