Document Detail


The value of urodynamic studies in infants less than 1 year old with congenital spinal dysraphism.
MedLine Citation:
PMID:  1640527     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The role and timing of urodynamic studies in infants with congenital spinal dysraphism are controversial. We reviewed 64 consecutive infants with a mean followup of 28 months who underwent video urodynamic study when they were less than 1 year old (50 of the 64 patients were less than 3 months old). A previously reported video urodynamic "hostility score" from 0 (best) to 10 (worst) was given to each study and compared with the outcome of the upper urinary tract and subsequent urodynamic studies. A larger fraction of these children with high hostility scores (5 or greater) had upper tract deterioration (39%) compared to those with low hostility scores (9%). Moreover, 6 of 14 patients in the low hostility group who underwent repeat video urodynamic studies after age 1 year had high hostility lower urinary tracts. We conclude that urodynamic studies during and after the first year of life are useful in the appropriate urological evaluation and management of infants with spinal dysraphism.
Authors:
L M Perez; J Khoury; G D Webster
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  148     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1992 Aug 
Date Detail:
Created Date:  1992-08-31     Completed Date:  1992-08-31     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  584-7     Citation Subset:  AIM; IM    
Affiliation:
Division of Urology, Duke University Medical Center, Durham, North Carolina 27710.
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MeSH Terms
Descriptor/Qualifier:
Female
Humans
Infant
Infant, Newborn
Kidney Diseases / diagnosis,  etiology
Male
Risk Factors
Spinal Dysraphism / complications,  physiopathology*
Urinary Bladder / physiopathology
Urinary Bladder, Neurogenic / etiology,  physiopathology
Urodynamics*

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


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