RECOGNITION OF BLADDER INSTABILITY ON VOIDING CYSTOURETHROGRAPHY IN INFANTS WITH URINARY TRACT INFECTION
| Autor: | M. Bachelard, U. Jodal U. Sillén, M. Bertilsson, G. Verkauskas, B. Jacobsson |
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| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Urology Urinary system Pediatric Radiologist Cystometry urologic and male genital diseases Bladder instability female genital diseases and pregnancy complications Bladder filling Cystourethrography Urethra medicine.anatomical_structure Radiological weapon Medicine business |
| Zdroj: | Journal of Urology. 166:1899-1903 |
| ISSN: | 1527-3792 0022-5347 |
| DOI: | 10.1016/s0022-5347(05)65715-1 |
| Popis: | Purpose: We evaluate voiding cystourethrography as a method for identifying bladder instability in infants.Materials and Methods: Cystometry was combined with voiding cystourethrography in 79 male and 64 female infants with first time urinary tract infection. Bladder wall irregularity, elongation of bladder shape, and filling of the posterior urethra were transient radiological signs occurring during bladder filling and were considered to reflect bladder instability. A pediatric radiologist looked for these signs on all 480 films exposed during bladder filling. The results were correlated to simultaneous detrusor pressure recordings. The analysis was repeated independently by a urologist to evaluate the reliability of the radiological signs used.Results: The sensitivity and specificity were both 90% in the evaluation of radiological signs of bladder instability. Filling of the posterior urethra was the least frequently reported radiological sign, which was seen at 53% of unstable contractions. However, wh... |
| Databáze: | OpenAIRE |
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