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Bladder dysfunction in infants with primary vesicoureteric reflux.

S Demirbag1, C Atabek, B Caliskan

  • 1Department of Paediatric Surgery, Gulhane Military Medical Academy, Ankara, Turkey. suzidemirbag@gmail.com

The Journal of International Medical Research
|February 12, 2010
PubMed
Summary
This summary is machine-generated.

Bladder dysfunction negatively impacts spontaneous resolution of primary vesicoureteric reflux (VUR) in infants. Urodynamic testing is recommended for infants with VUR to identify these common bladder abnormalities.

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Area of Science:

  • Pediatric Urology
  • Nephrology
  • Diagnostic Imaging

Background:

  • Vesicoureteric reflux (VUR) is a common condition in infants.
  • Bladder dysfunction is increasingly recognized as a factor influencing VUR outcomes.
  • Understanding the prevalence of urodynamic abnormalities in infants with primary VUR is crucial for management.

Purpose of the Study:

  • To determine the prevalence of urodynamic abnormalities in infants diagnosed with primary VUR.
  • To investigate the relationship between bladder dysfunction and the severity of primary VUR.

Main Methods:

  • Prospective review of urodynamic evaluations and medical records.
  • Analysis of data from 54 infants with primary VUR (79 ureters).
  • Categorization of bladder dysfunction based on bladder capacity.

Main Results:

  • Urodynamic dysfunction was identified in 46.3% of infants with primary VUR.
  • Low bladder capacity was observed in 35.2% and large bladder capacity in 11.1%.
  • All infants with large bladder capacity had high-grade VUR (grades IV-V).

Conclusions:

  • A significant association exists between bladder dysfunction and primary VUR in infants.
  • Urodynamic testing should be integrated into the routine clinical evaluation of infants with primary VUR.
  • Identifying bladder dysfunction can aid in predicting VUR resolution and guiding treatment.