A multi-center study of pediatric uroflowmetry data using patterning software

Kanematsu, Akihiro; Tanaka, Shiro; Johnin, Kazuyoshi; Kawai, Shina; Nakamura, Shigeru; Imamura, Masaaki; Yoshimura, Koji; Higuchi, Yoshihide; Yamamoto, Shingo; Okada, Yusaku; Nakai, Hideo; Ogawa, Osamu

doi:10.1016/j.jpurol.2011.12.001

Cited by 8 publications

(11 citation statements)

References 13 publications

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“…normal, tower, plateau, staccato, or interrupted) [8,9]. A recent study suggested that patterning software might improve inter-rater agreement; however, there was no consensus (gold standard) diagnosis for the studies used in that analysis [10].…”

Section: Discussionmentioning

confidence: 99%

Uroflowmetry with pelvic floor electromyography: inter-rater agreement on diagnosis of pediatric non-neurogenic voiding disorders

Faasse

Nosnik

Diaz-Saldano

et al. 2015

Journal of Pediatric Urology

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Section: Discussionmentioning

confidence: 99%

Uroflowmetry with pelvic floor electromyography: inter-rater agreement on diagnosis of pediatric non-neurogenic voiding disorders

Faasse

Nosnik

Diaz-Saldano

et al. 2015

Journal of Pediatric Urology

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“…Kanematsu et al reported that a tower-shaped curve correlates with fewer urinary tract symptoms during the daytime. 23 In addition, a tower-shaped curve is suggestive of bladder overactivity. 7 Of the children diagnosed with OAB in the present study, those with excessive bladder detrusor activity as a major pathological condition may be more likely to have good outcomes following treatment.…”

Section: Discussionmentioning

confidence: 99%

Clinical features of, and association of bladder ultrasound and uroflowmetry with, overactive bladder recovery period in children

Fuyama

Ikeda

Oyake

et al. 2018

Pediatrics International

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“…It is important to obtain more than one curve before drawing conclusions, and three curves are advised . Uroflowmetry in children has been the important subject of publication including nomograms for healthy children, comparative analysis of uroflowmetry curves, and objective patterning of uroflowmetry curves . However, the role of uroflowmetry in the diagnosis of LUTD in children, especially its impact on initial management and clinical outcome has been the issue of controversy .…”

Section: Discussionmentioning

confidence: 99%

“…48 Uroflowmetry in children has been the important subject of publication including nomograms for healthy children, 52 comparative analysis of uroflowmetry curves, 53 and objective patterning of uroflowmetry curves. 54,55 However, the role of uroflowmetry in the diagnosis of LUTD in children, especially its impact on initial management and clinical outcome has been the issue of controversy. 56 Because the difference in flow curves are not a guarantee to the underlying pathophysiological abnormality, the true cause behind the particular abnormal flow curve is better appreciated if simultaneous pelvic floor EMG is being conducted.…”

Section: Discussionmentioning

confidence: 99%

Pathophysiological and Therapeutic Considerations for Non‐Neurogenic Lower Urinary Tract Dysfunction in Children

Κakizaki

Kita

Watanabe

et al. 2015

LUTS

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Non-neurogenic lower urinary tract dysfunction (LUTD) in children is very common in clinical practice and is important as an underlying cause of lower urinary tract symptoms, urinary tract infection and vesicoureteral reflux in affected children. LUTD in children is caused by multiple factors and might be related with a delay in functional maturation of the lower urinary tract. Behavioral and psychological problems often co-exist in children with LUTD and bowel dysfunction. Recent findings in functional brain imaging suggest that bladder bowel dysfunction and behavioral and psychiatric disorders in children might share common pathophysiological factors in the brain. Children with suspected LUTD should be evaluated properly by detailed history taking, validated questionnaire on voiding and defecation, voiding and bowel diary, urinalysis, screening ultrasound, uroflowmetry and post-void residual measurement. Invasive urodynamic study such as videourodynamics should be reserved for children in whom standard treatment fails. Initial treatment of non-neurogenic LUTD is standard urotherapy comprising education of the child and family, regular optimal voiding regimens and bowel programs. Pelvic floor muscle awareness, biofeedback and neuromodulation can be used as a supplementary purpose. Antimuscarinics and α-blockers are safely used for overactive bladder and dysfunctional voiding, respectively. For refractory cases, botulinum toxin A injection is a viable treatment option. Prudent use of urotherapy and pharmacotherapy for non-neurogenic LUTD should have a better chance to cure various problems and improve self-esteem and quality of life in affected children.

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A multi-center study of pediatric uroflowmetry data using patterning software

Cited by 8 publications

References 13 publications

Uroflowmetry with pelvic floor electromyography: inter-rater agreement on diagnosis of pediatric non-neurogenic voiding disorders

Uroflowmetry with pelvic floor electromyography: inter-rater agreement on diagnosis of pediatric non-neurogenic voiding disorders

Clinical features of, and association of bladder ultrasound and uroflowmetry with, overactive bladder recovery period in children

Pathophysiological and Therapeutic Considerations for Non‐Neurogenic Lower Urinary Tract Dysfunction in Children

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