Home bladder pressure measurements correlate with urodynamic storage pressures and high-grade hydronephrosis in children with spina bifida

Autor: Kathy H. Huen, Joshua D. Chamberlin, Amanda Macaraeg, Carol A. Davis-Dao, Sarah H. Williamson, Linda Beqaj, Ahmed Abdelhalim, Ranim Mahmoud, Heidi A. Stephany, Kai-wen Chuang, Elias J. Wehbi, Antoine E. Khoury
Rok vydání: 2022
Předmět:
Zdroj: Journal of Pediatric Urology. 18:503.e1-503.e7
ISSN: 1477-5131
DOI: 10.1016/j.jpurol.2022.06.011
Popis: Patients with spina bifida are at risk for developing bladder and renal deterioration secondary to increased bladder storage pressures.To determine the association of home bladder volume and pressure measurements (home manometry) to: 1) detrusor storage pressures on urodynamics (UDS); and 2) the presence of Society of Fetal Urology (SFU) grades 3-4 hydronephrosis on renal bladder ultrasound in patients with spina bifida.Data were prospectively collected on patients with spina bifida and neurogenic bladder requiring clean intermittent catheterization. Patients used a ruler and typical catheterization equipment to measure bladder pressures and volumes at home. Home measurements were compared to UDS detrusor pressures and SFU hydronephrosis grade. Detrusor pressure20 cm HIncluded were 52 patients with a median age of 10.3 years (interquartile range 6.3-14.4 years). Three home manometry measurements (maximum bladder pressure, bladder pressure at maximum catheterized volume, and mean bladder pressure) 20 cm HNone of the patients with maximal home bladder pressure20 cm H
Databáze: OpenAIRE
Externí odkaz: