Related Experiment Videos
[Urodynamics in children with recurrent urinary infection, enuresis and bladder incontinence]
Insights
This study found that hyperactive bladder responses are common in children with enuresis, incontinence, and recurrent UTIs. Urodynamic findings reveal various bladder dysfunction patterns in pediatric lower urinary tract symptoms.
Area of Science:
- Pediatric Urology
- Urodynamics
- Pediatric Nephrology
Context:
- Investigating lower urinary tract symptoms in children with normal neurological exams.
- Assessing clinical and urodynamic findings in 50 pediatric patients.
- Encompassing conditions like enuresis, vesical incontinence, and recurrent urinary tract infections.
Purpose:
- To describe clinical and urodynamic findings in children presenting with various lower urinary tract symptoms.
- To correlate urodynamic abnormalities with specific symptoms and renal outcomes.
Summary:
- Hyperactive bladder response was observed in all enuresis cases (5/5), most recurrent UTI cases (8/10), and a significant portion of combined symptoms (23/33).
- Hypotonic bladder responses were noted in some recurrent UTI (1/10) and combined symptoms (5/33) patients.
- Renal ultrasonography identified bilateral hydronephrosis in one patient and reflux nephropathy in three children with specific bladder dysfunctions.
Impact:
- Highlights the prevalence of bladder hyperactivity in pediatric lower urinary tract dysfunction.
- Underscores the importance of urodynamic evaluation for identifying underlying bladder abnormalities.
- Provides insights into potential renal complications associated with these conditions.
Abstract:
Clinical and urodynamic findings in 50 children with normal neurologic examination and: enuresis (n = 5), vesical incontinence (n = 2), recurrent urinary tract infection (n = 10) or association of these abnormalities (n = 33) are described. Renal ultrasonography showed bilateral hydronephrosis in a girl with hypotonic bladder. Reflux nephropathy was detected in two children with vesical hyperactivity and in one patient with hypotonic bladder. Vesical residue was evident in 5 patients with hyperactive bladder. Increased bladder capacity occurred in two children with hypotonic response. Vesical neck formation was observed along micturition in 6 patients with hyperactive bladder. Hyperactive bladder response occurred in 5/5 patients with enuresis, in 1/2 children with vesical incontinence (VI), in 8/10 cases of recurrent urinary tract infection (RUTI) and in 23/33 patients with combined symptoms (CS). Hypertonic response was seen in 1/2 VI, 1/10 RUTI and 5/33 CS patients. Finally in 1/10 RUTI and in 5/33 CS cases bladders were hypotonic and 4/33 CS showed normal urodynamic findings.