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Clinical, imaging and cystometric findings of voiding dysfunction in children

Gabriela Ichim1, Otilia Fufezan, Mihaela Farcău

  • 13rd Pediatric Department Iuliu Hatieganu University of Medicine and Pharmacy, 2-4 Câmpeni str 400217 Cluj Napoca, Romania. gabi_ichim@yahoo.com

Medical Ultrasonography
|December 2, 2011
PubMed

Insights

This study validates imaging criteria for pediatric voiding dysfunction. Non-invasive methods like ultrasound and cystourethrography effectively diagnose conditions such as overactive bladder in children.

Area of Science:

  • Pediatric Urology
  • Diagnostic Imaging

Background:

  • Voiding dysfunction is common in children.
  • Accurate diagnosis is crucial for effective management.

Purpose of the Study:

  • To validate imaging criteria for diagnosing pediatric voiding dysfunction.
  • To assess the utility of ultrasound, voiding cystourethrography, and cystometry.

Main Methods:

  • 55 children with voiding dysfunction symptoms were evaluated.
  • Clinical assessment combined with renourinary ultrasound, voiding cystourethrography, and cystometry.

Main Results:

  • Common symptoms included urgency, frequency, and incontinence.
  • Ultrasound showed reduced bladder capacity (65.5%).
  • Voiding cystourethrography revealed bladder trabeculations (58.2%) and "spinning top" urethra (63.6%).
  • Cystometry indicated overactive bladder in 70.9% of patients.

Conclusions:

  • Imaging findings like reduced bladder capacity, trabeculations, and "spinning top" urethra correlate with overactive bladder.
  • Pediatric voiding dysfunction can be diagnosed using minimal or non-invasive imaging techniques.
Abstract

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