| Urine flow curve shapes in adults with earlier vesicoureteral reflux. | |
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MedLine Citation:
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PMID: 17764825 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES AND METHODS: Voiding problems related to childhood vesicoureteral reflux (VUR) in a cohort of 120 patients (109 females, 11 males) were studied at early middle age (range, 33-50 yr). Forty-four patients had been operated on. The study included an interview by means of a symptom questionnaire, a urine flow measurement, a residual urine measurement, and a urine sample. RESULTS: The flow curve shape was abnormal in 40% (tower-shaped in 7%, weak in 18%, interrupted in 8%, and big bladder in 8% of patients). Forty-five percent of operated patients and 70% of nonoperated patients had a normal flow curve shape. Almost half of the operated patients (45%) had either an interrupted or a weak flow. Figures for stress incontinence and urgency incontinence among the female patients were twice those in the controls, 35% versus 16% (p=0.05) and 20% versus 11%, respectively. Urinary tract infections (UTIs) were diagnosed in 76% of the adult female VUR patients and in 57% of their controls (p=0.041). Twenty-five percent of the female VUR patients (none of the controls) reported suffering from UTI more often than once a year. CONCLUSIONS: Adult patients with childhood VUR have abnormal urine flow curve shapes and UTIs significantly more often than controls (p=0.00005 and p=0.04, respectively). Patients who were operated on for VUR especially seemed to have an interrupted or weak flow curve shape. A high percentage of these patients also suffered from urgency and stress incontinence and annual UTIs. |
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Authors:
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Hanna-Mari Roihuvuo-Leskinen; Juha E Koskimäki; Teuvo L J Tammela; Tuija T Lahdes-Vasama |
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Publication Detail:
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Type: Journal Article Date: 2007-08-23 |
Journal Detail:
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Title: European urology Volume: 54 ISSN: 0302-2838 ISO Abbreviation: Eur. Urol. Publication Date: 2008 Jul |
Date Detail:
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Created Date: 2008-05-30 Completed Date: 2008-10-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7512719 Medline TA: Eur Urol Country: Switzerland |
Other Details:
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Languages: eng Pagination: 188-94 Citation Subset: IM |
Affiliation:
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Pediatric Research Centre, Tampere University Hospital, Tampere, Finland. hanna.roihuvuo@suomi24.fi |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Diagnostic Techniques, Urological Female Humans Male Middle Aged Urination Disorders / diagnosis*, physiopathology Urodynamics Vesico-Ureteral Reflux / diagnosis*, physiopathology, surgery |
| Comments/Corrections | |
Comment In:
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Eur Urol. 2008 Jul;54(1):195
[PMID:
17764826
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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