Uroflowmetry in the management of children`s lower urinary tract symptoms (LUTS)

Associated pathology: non urological (constipation-19 (17,59%), ADHD syndrome-3 (2,77%), intelectual disabilities-8 (7,40%), disorder of sleep-10 (9,25%), operated spina bifda-5 (4,62%), obesity-16 (14,81%)) urological (reccurent urinary tract infections- 34 (31,48%), asymptomatic bacte-riuria-12 (1...

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Bibliographic Details
Published inRomanian journal of urology Vol. 19; no. 1; pp. 34 - 38
Main Authors Frunda, Edva Anna, Ghirca, Veronica, Drágus, Emőke, Mártha, Orsolya
Format Journal Article
LanguageEnglish
Published Bucharest Romanian Journal of Urology 01.01.2020
Subjects
Adults
Age
Asymptomatic
Bladder
Children & youth
Congenital diseases
Constipation
Cysts
Nocturia
Pathology
Pediatrics
Ultrasonic imaging
Urinary incontinence
Urinary tract diseases
Urinary tract infections
Urine
Urogenital system
Urology
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Summary:Associated pathology: non urological (constipation-19 (17,59%), ADHD syndrome-3 (2,77%), intelectual disabilities-8 (7,40%), disorder of sleep-10 (9,25%), operated spina bifda-5 (4,62%), obesity-16 (14,81%)) urological (reccurent urinary tract infections- 34 (31,48%), asymptomatic bacte-riuria-12 (11,11%), vesicoureteral refux with conservative management 8 (7,40%), persistent VUR refux after surgery 8 (7,40%), congenital anomalies: renal duplication- 2 (1,85%), solitary kidney:1 (0,92%), renal cyst-2 (1,85%), ure-tral orifce stenosis-3 (2,77%), phimosis-2 (1,85%) and hypospadiasis-3 (2,77%) cases. Keywords: urofowmetry, child, micturition, LUTS, Qmax Introduction, objectives: LUTS among children show a rather high incidence, up to 20% of school-aged children are sufering, so an early recognition, and a proper management is of utmost importance in order to prevent the adult`s suffering (1). Medical and voiding history Micturition diary (for 3 days) (fg.1) Urine analysis to exclude infection Physical examination (in order to exclude malformations, neurogenic pathology) Abdominal ultrasound and PVR (to evaluate emptying efcacy) Urofowmetry (urine flow evaluation) Urodynamic studies (cystometry, pressure flow studies only in selected, refractory cases) Urofow evaluation consisted of: Concerning the associated pathology there were divided in two groups: non urological (constipation-19 cases (17,59%), ADHD syndrome-3 (2,77%), intelectual disabilities-8 (7,40%), disorder of sleep-10 (9,25%), operated spina bifda-5 (4,62%), obesity-16 (14,81%)) uro-logical (reccurent urinary tract infections- 34 (31,48%), asymptomatic bacteriuria-12 (11,11%), vesicoureteral refux with conservative management 8 (7,40%), persistent VUR refux after surgery 8 (7,40%), congenital anomalies: renal duplication- 2 (1,85%), solitary kid-ney:1 (0,92%), renal cyst-2 (1,85%), uretral orifce steno-sis-3 (2,77%), phimosis-2 (1,85%) and hypospadiasis-3 (2,77%) patients.
ISSN:1842-2187