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Published on: October 12, 2017
[Non-neurogenic bladder dysfunction and vesicoureteral reflux in children]
I Rübben1, M Goepel, J D van Gool
1Kinderurologie, Klinik für Urologie, Universitätsklinikum Essen, Hufelandstraße 55, 45122 Essen, Deutschland. iris.ruebben@uk-essen.de
Der Urologe. Ausg. A
|April 28, 2011
Summary
Children with overactive bladder (OAB) experience fewer effects on vesicoureteral reflux (VUR) resolution compared to those with dysfunctional voiding. Differentiating these bladder conditions is crucial for effective VUR management.
Area of Science:
- Pediatric Urology
- Nephrology
- Urodynamics
Context:
- Bladder dysfunction frequently co-occurs with urinary tract infections, renal damage, and vesicoureteral reflux (VUR).
- Understanding the impact of specific functional bladder disturbances on VUR resolution is critical for appropriate clinical management.
Purpose:
- To review the influence of detrusor instability (overactive bladder, OAB) and bladder sphincter dyssynergia (dysfunctional voiding) on the resolution of VUR in children.
- To highlight the importance of distinguishing between OAB and dysfunctional voiding in the context of VUR.
Summary:
- Dysfunctional voiding, characterized by increased pelvic floor activity during voiding, significantly impacts VUR resolution.
- Overactive bladder (OAB), defined by detrusor overactivity during bladder filling, has a less pronounced effect on VUR resolution compared to dysfunctional voiding.
- Accurate diagnosis differentiating OAB from dysfunctional voiding is essential for predicting and managing VUR outcomes.
Impact:
- Clinical guidelines for managing VUR may need to incorporate specific considerations for different types of bladder dysfunction.
- Improved diagnostic criteria for pediatric bladder dysfunction can lead to more targeted and effective treatment strategies for VUR.
- This review aids clinicians in differentiating pediatric bladder conditions to optimize VUR treatment and prevent renal complications.
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