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Voiding Dysfunction: What Can Radiologists Tell Patients and Pediatric Urologists?
Stephen A Zderic1,2, Dana A Weiss1,2
11 Department of Surgery, Division of Urology, The Children's Hospital of Philadelphia, 34th and Civic Center Blvd, Wood Bldg, 3rd Fl, Philadelphia, PA 19104.
AJR. American Journal of Roentgenology
|October 27, 2015
Summary
Imaging is crucial for the 1-2% of children with dysfunctional voiding who have an underlying anatomical issue causing incontinence. Judicious use of imaging aids accurate diagnosis and management in pediatric urology.
Area of Science:
- Pediatric Urology
- Medical Imaging
Background:
- Dysfunctional voiding is common in children, but most cases lack anatomical abnormalities.
- Identifying the small percentage with an anatomical basis for incontinence is critical for appropriate management.
Purpose of the Study:
- To outline the role and judicious application of imaging in evaluating children with dysfunctional voiding.
- To assist pediatric urologists in identifying anatomical causes of incontinence.
Main Methods:
- Review of imaging techniques used in pediatric dysfunctional voiding.
- Discussion on the selective use of imaging based on clinical presentation and experience.
Main Results:
- Most children with dysfunctional voiding (98%) present with normal anatomy.
- Imaging is most valuable in the 1-2% of cases with an identifiable anatomical abnormality.
Conclusions:
- Imaging can provide diagnostic findings for accurate management of dysfunctional voiding in select pediatric patients.
- The diagnostic yield of imaging is low, necessitating judicious use by pediatric urologists.
- Clinical experience guides decisions on when to prioritize imaging versus conservative management.
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