Tags

Type your tag names separated by a space and hit enter

Investigation of dysfunctional voiding in children with urgency frequency syndrome and urinary incontinence.
Urol Int. 2006; 76(1):72-6.UI

Abstract

PURPOSES

Dysfunctional voiding may result in lower urinary tract symptoms (LUTS) in children and is associated with urinary tract infection and vesicoureteral reflux (VUR). This study analyzed the videourodynamic investigations in children with urgency frequency syndrome and/or urinary incontinence.

METHODS

Forty children, 1-13 years old, with urgency frequency syndrome and/or incontinence were investigated to determine their LUTS or for the assessment of VUR. Videourodynamic study was performed in all patients and the results were analyzed with clinical characteristics and underlying pathophysiology.

RESULTS

Dysfunctional voiding was present in 75.7% of the children with detrusor overactivity, in 73.3% of the children with VUR, in 63% of the children with urinary incontinence, in 77% of the children with episodic urinary tract infection, and in all of the children with diurnal enuresis. Compared to children without dysfunctional voiding, the voiding pressure was significantly higher in children with dysfunctional voiding (with VUR, 61.1 +/- 29.8 vs. 24.8 +/- 15.8 cm H(2)O, p = 0.004; without VUR, 53.4 +/- 24.1 vs. 24.8 +/- 15.8 cm H(2)O, p = 0.010). Biofeedback pelvic floor muscle training and treatment with antimuscarinic agent effectively decreased detrusor pressure, increased bladder capacity and maximum flow rate, and reduced the grade of VUR in 5 children who had post-treatment urodynamic studies.

CONCLUSIONS

This study has shown that dysfunctional voiding is highly prevalent in children with symptoms of urgency frequency and incontinence. Biofeedback pelvic floor muscle training is effective in treatment of dysfunctional voiding in children.

Authors+Show Affiliations

Department of Urology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan. hck@tzuchi.com.twNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16401925

Citation

Kuo, Hann-Chorng, and Hsin-Tzu Liu. "Investigation of Dysfunctional Voiding in Children With Urgency Frequency Syndrome and Urinary Incontinence." Urologia Internationalis, vol. 76, no. 1, 2006, pp. 72-6.
Kuo HC, Liu HT. Investigation of dysfunctional voiding in children with urgency frequency syndrome and urinary incontinence. Urol Int. 2006;76(1):72-6.
Kuo, H. C., & Liu, H. T. (2006). Investigation of dysfunctional voiding in children with urgency frequency syndrome and urinary incontinence. Urologia Internationalis, 76(1), 72-6.
Kuo HC, Liu HT. Investigation of Dysfunctional Voiding in Children With Urgency Frequency Syndrome and Urinary Incontinence. Urol Int. 2006;76(1):72-6. PubMed PMID: 16401925.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Investigation of dysfunctional voiding in children with urgency frequency syndrome and urinary incontinence. AU - Kuo,Hann-Chorng, AU - Liu,Hsin-Tzu, PY - 2005/05/03/received PY - 2005/08/23/accepted PY - 2006/1/13/pubmed PY - 2006/5/25/medline PY - 2006/1/13/entrez SP - 72 EP - 6 JF - Urologia internationalis JO - Urol Int VL - 76 IS - 1 N2 - PURPOSES: Dysfunctional voiding may result in lower urinary tract symptoms (LUTS) in children and is associated with urinary tract infection and vesicoureteral reflux (VUR). This study analyzed the videourodynamic investigations in children with urgency frequency syndrome and/or urinary incontinence. METHODS: Forty children, 1-13 years old, with urgency frequency syndrome and/or incontinence were investigated to determine their LUTS or for the assessment of VUR. Videourodynamic study was performed in all patients and the results were analyzed with clinical characteristics and underlying pathophysiology. RESULTS: Dysfunctional voiding was present in 75.7% of the children with detrusor overactivity, in 73.3% of the children with VUR, in 63% of the children with urinary incontinence, in 77% of the children with episodic urinary tract infection, and in all of the children with diurnal enuresis. Compared to children without dysfunctional voiding, the voiding pressure was significantly higher in children with dysfunctional voiding (with VUR, 61.1 +/- 29.8 vs. 24.8 +/- 15.8 cm H(2)O, p = 0.004; without VUR, 53.4 +/- 24.1 vs. 24.8 +/- 15.8 cm H(2)O, p = 0.010). Biofeedback pelvic floor muscle training and treatment with antimuscarinic agent effectively decreased detrusor pressure, increased bladder capacity and maximum flow rate, and reduced the grade of VUR in 5 children who had post-treatment urodynamic studies. CONCLUSIONS: This study has shown that dysfunctional voiding is highly prevalent in children with symptoms of urgency frequency and incontinence. Biofeedback pelvic floor muscle training is effective in treatment of dysfunctional voiding in children. SN - 0042-1138 UR - https://www.unboundmedicine.com/medline/citation/16401925/Investigation_of_dysfunctional_voiding_in_children_with_urgency_frequency_syndrome_and_urinary_incontinence_ L2 - https://www.karger.com?DOI=10.1159/000089739 DB - PRIME DP - Unbound Medicine ER -