Vesicoureteral Reflux and Urodynamic Dysfunction
| Autor: | Kristina Vrljicak, Daniel Turudić, Ljiljana Nizic, Danko Batinić, Danko Milosevic, Marija Topalović-Grković, Danica Batinić |
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| Přispěvatelé: | EAPS |
| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Croatia Urology Urinary system Urinary Bladder Dysfunctional voiding urologic and male genital diseases Severity of Illness Index Vesicoureteral reflux Intravesical pressure Lower Urinary Tract Symptoms Predictive Value of Tests Pressure medicine Humans Child Pathological Vesico-Ureteral Reflux Lower grade Chi-Square Distribution Vesicoureteral reflux urodynamic dysfunction children Urinary Bladder Overactive business.industry Incidence Incidence (epidemiology) digestive oral and skin physiology medicine.disease digestive system diseases female genital diseases and pregnancy complications Urodynamics Overactive bladder Child Preschool Female vezikoureteralni reflux urodynamic dysfunction business |
| Zdroj: | Urologia Internationalis. 90:480-483 |
| ISSN: | 1423-0399 0042-1138 |
| DOI: | 10.1159/000345713 |
| Popis: | Introduction: The concept of vesicoureteral reflux (VUR) as a consequence of congenital anomaly of vesicoureteral junction has undergone changes owing to the finding that such children may have lower urinary tract dysfunction, which produces high intravesical pressure and consequently a predisposition for VUR. Patients and Methods: The urodynamics was investigated by pressure-flow-EMG study in 132 children with VUR and 162 refluxing units. Results: Only 33 (25.0%) patients had normal urodynamic finding. The most frequent pathological finding was overactive bladder (OAB), found in 59 (44.7%) children, followed by dysfunctional voiding (DV) in 25 (18.9%) children. Children with VUR grades I and II had a higher percentage of pathological urodynamic findings than children with VUR grades III and IV. OAB was more frequent in children under 5 years of age with unilateral and lower grade VUR. It was found equally in children with and without uroinfections. DV was more frequent in children older than 5 years, with bilateral VUR, higher grade VUR and uroinfections. Conclusions: Children with VUR have a high incidence of urodynamic disorders. The results of the study indicate the possible role of urodynamic dysfunction in the pathogenesis of VUR, especially mild one. |
| Databáze: | OpenAIRE |
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