Document Detail

Changing concepts in the urodynamic evaluation of children.
MedLine Citation:
PMID:  875155     Owner:  NLM     Status:  MEDLINE    
Urodynamic evaluation was performed in 46 children with myelodysplasia, spinal cord injury, enuresis, postoperative incontinece, sacral agenesis and recurrent urinary tract infection. The basic study consisted of voiding cystourethrography followed by the simultaneous recording of intra-abdominal and intravesical pressure with external urethral sphincter electromyography. Urethral pressure profile, urinary flow rate and anal sphincter electromyography were performed selectively. There was no correlation between the clinical neurological level and the cystometric pattern in patients with spinal cord lesions. Bladder-external sphincter dyssynergia was associated with a high post-void residual urine in children with hypertonic bladders, while in children with hypotonic bladders dyssynergia did not affect the post-void residual. Since, urinary symptoms bore little relationship to urodynamic findings in our study we recommend complete evaluation of children who have persistent disturbances of micturition.
J G Blaivas; K L Labib; S B Bauer; A B Retik
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  117     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1977 Jun 
Date Detail:
Created Date:  1977-08-12     Completed Date:  1977-08-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  778-81     Citation Subset:  AIM; IM    
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MeSH Terms
Child, Preschool
Enuresis / physiopathology
Myelitis, Transverse / physiopathology
Sacrum / abnormalities
Urinary Bladder / physiopathology
Urinary Incontinence / physiopathology
Urinary Tract / physiopathology*
Urination Disorders / physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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