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Correlation between uroflowmetry parameters and treatment outcome in children with dysfunctional voiding

Zivkovic Vesna1, Lazovic Milica, Vlajkovic Marina

  • 1Clinic of Physical Medicine, Rehabilitation and Prosthetics, Clinical Centre Nis, Bul. Zorana Djindjica 48, 18 000 Nis, Serbia. gilez63@gmail.com

Journal of Pediatric Urology
|October 24, 2009
PubMed

Insights

Improved uroflowmetry (urinary flow measurement) parameters and curve patterns correlate with successful treatment outcomes in children with dysfunctional voiding, leading to better urinary continence and fewer infections.

Area of Science:

  • Pediatric Urology
  • Urodynamics
  • Child Health

Background:

  • Dysfunctional voiding is a common cause of lower urinary tract symptoms in children.
  • Objective urodynamic parameters can help assess treatment efficacy.

Purpose of the Study:

  • To correlate subjective clinical outcomes with objective uroflowmetry parameters and curve patterns in children with dysfunctional voiding.
  • To evaluate the effectiveness of urotherapy and pelvic floor exercises.

Main Methods:

  • 75 children with dysfunctional voiding were randomized into standard urotherapy with pelvic floor exercises or conservative treatment.
  • Uroflowmetry, pelvic floor electromyography, and post-void residual (PVR) urine ultrasound were performed before and after a 12-month treatment period.
  • Urodynamic findings were compared between 'cured' and 'unchanged' clinical outcome groups.

Main Results:

  • Children with cured urinary incontinence and nocturnal enuresis showed significantly increased voided volume, average and peak flow rates, and decreased PVR urine compared to the 'unchanged' group.
  • A significant decrease in PVR urine was observed in children with cured urinary tract infections (UTIs).
  • A bell-shaped uroflowmetry curve pattern was more frequent in children with cured urinary incontinence and UTIs.

Conclusions:

  • Improvements in clinical symptoms of dysfunctional voiding correlate with enhanced uroflowmetry parameters and curve patterns.
  • Optimizing the voiding phase is crucial for achieving urinary continence and resolving UTIs in children.
Abstract

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