Document Detail


Urethral length in girls with lower urinary tract symptoms and forme fruste of female epispadias.
MedLine Citation:
PMID:  20056560     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To investigate systematically the length of the urethra in girls with lower urinary tract symptoms. MATERIALS AND METHODS: In a group of 121 consecutive girls presented at a tertiary referral clinic for urinary incontinence or recurrent urinary tract infections, urethral length was measured by perineal ultrasound. The urethra was measured with the patient in supine position without anesthesia. Mean age of the patients was 7.8 (0-15) years. RESULTS: Average urethral length was 26 mm. Minimum length was 12 mm, measured in a 5-year-old girl with dribbling incontinence. Maximum measured length was 40 mm in a 15-year-old girl. In four girls (3.3%), aged 1-10 years (mean 6.3), a short urethra was detected, with measured lengths of 12 and 14 mm. All four had normal genitalia, and were referred with therapy-resistant urinary incontinence or urinary tract infections. A gradual increase in average urethral length was measured from 23 mm at birth to 32 mm at 15 years. CONCLUSION: Urethral length can be measured accurately by ultrasound. Although a short urethral length is rarely detected by ultrasound in girls with incontinence, it may be associated with therapy-resistant incontinence. In such cases, different treatment options are available.
Authors:
Meike M C Hirdes; Tom P V M de Jong; Pieter Dik; Marianne A W Vijverberg; Rafal Chrzan; Aart J Klijn
Publication Detail:
Type:  Journal Article     Date:  2009-12-28
Journal Detail:
Title:  Journal of pediatric urology     Volume:  6     ISSN:  1873-4898     ISO Abbreviation:  J Pediatr Urol     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-06-28     Completed Date:  2010-11-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101233150     Medline TA:  J Pediatr Urol     Country:  England    
Other Details:
Languages:  eng     Pagination:  372-5     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2009 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Pediatric Renal Center, University Children's Hospitals UMC Utrecht and AMC Amsterdam, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Child, Preschool
Epispadias / pathology*
Female
Humans
Infant
Organ Size
Prospective Studies
Urethra / pathology*
Urinary Incontinence / pathology*
Urinary Tract Infections / pathology*

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