Ability of a Normal Dysfunctional Voiding Symptom Score to Predict Uroflowmetry and External Urinary Sphincter Electromyography Patterns in Children

Bartkowski, Donald P.; Doubrava, Russell G.

doi:10.1097/01.ju.0000140849.49348.62

Cited by 43 publications

(32 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Paradoxical puborectalis contraction occurred in six women, all in the OB group. There were no cases of paradoxical puborectalis contraction in group C. These findings are consistent with those of prior studies that defend the hypothesis of pelvic floor -bladder incoordination as an etiology for abnormal urinary frequency, urinary urgency, incontinence, and recurring urinary tract infection in non-neuropathic children 2,12 . The small study sample notwithstanding, one may reasonably assume from the findings presented herein (greater frequency of constipation and paradoxical puborectalis contraction in the OB group) that there is indeed a relationship between constipation and voiding dysfunction, with particular emphasis on defecation, due to incoordination of the pelvic floor.…”

Section: Discussionsupporting

confidence: 81%

Avaliação manométrica anorretal de mulheres adultas com diagnóstico clínico e urodinâmico de bexiga hiperativa

Gonçalves

Fernandes

Almeida

et al. 2013

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

-Background: Anorectal manometry is a diagnostic method often used in clinical practice for assessing functional anorectal disorders and pelvic floor. The dysfunctional voiding, anorectal and pelvic floor has been considered as contributing factors of the symptoms of overactive bladder. Aim: To evaluate the results with anorectal manometry in adult women with clinical and urodynamic diagnostics of overactive bladder. Methods: Twenty-five adult women (mean age 45.5±11.9 years) with clinical and urodynamic diagnostic of overactive bladder underwent anorectal manometry and the results of this assessment were compared to a control group of eighteen women (mean age 33.9±10.7 years) with no urinary or intestinal disorders and without clinical criteria for diagnosis of overactive bladder. Results: Paradoxical puborectalis contraction occurred in six patients in the overactive bladder group and none of the controls. There were no significant between group differences in the following manometric parameters: rectoanal inhibitory reflex, rectal sensitivity, maximum tolerable volume, resting pressure, and hypertonia at rest. Mean squeeze pressure was 182.2 mmHg in the overactive bladder group versus 148.1 mmHg in the control group. Conclusion: Women with overactive bladder had increased incidence of paradoxical puborectalis contraction than women in the control group. RESUMO -Racional:A manometria anorretal é método diagnóstico empregado na prática clínica para avaliação de distúrbios funcionais anorretais e do assoalho pélvico. As disfunções miccionais, anorretais e do assoalho pélvico tem sido consideradas como fatores contribuintes dos sintomas de bexiga hiperativa. Objetivo: Avaliar os resultados obtidos com manometria anorretal em mulheres adultas com diagnóstico clínico e urodinâmico de bexiga hiperativa. Métodos: Vinte e cinco mulheres adultas (média de idade de 45.5±11.9 anos) com diagnóstico clínico e urodinâmico de bexiga hiperativa submeteram-se à manometria anorretal e os resultados obtidos nesta avaliação foram comparados aos de um grupo controle de 18 mulheres (média de idade de 33.9 ±10.7 anos) assintomáticas do ponto de vista urinário e sem critérios clínicos para diagnóstico de bexiga hiperativa. O grupo de mulheres com bexiga hiperativa foi denominado BH e controle C. Resultado: Ocorreram seis (24%) casos de contração paradoxal do puborretal no grupo BH e nenhuma no Grupo C. Houve 13 (52%) ocorrências de hipertonia de repouso isolada ou associada à hipertonia de contração no Grupo BH e sete (39%) no Grupo C. A média de pressão de repouso foi de 80.1 mmHg no Grupo BH e 67.6 mmHg no Grupo C. O total de ocorrência de hipertonia de contração no Grupo BH foi de 7(28%) e 11(61%) no Grupo C. A média de pressão de contração foi de 182.2 mmHg no Grupo BH e 148.1 mmHg no Grupo. Com relação ao reflexo inibitório retoanal, a sensibilidade e a capacidade retal máxima não houve diferença estatisticamente significante entre os dois grupos. Conclusão: As mulheres com bexiga hiperativa apresentaram maior ocorrênci...

show abstract

Section: Discussionsupporting

confidence: 81%

Avaliação manométrica anorretal de mulheres adultas com diagnóstico clínico e urodinâmico de bexiga hiperativa

Gonçalves

Fernandes

Almeida

et al. 2013

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

show abstract

“…In our practice, the use of symptom scoring scales has significantly decreased the need for urodynamics studies. Since the main purpose in the management of voiding dysfunction in neurologically intact patients is the treatment of symptoms, not the urodynamics findings, these scales are of clinical importance and have proved their reliability, both as a first line diagnostic tool and in the evaluation of response to treatment [7][8][9][10]. These scales could be modified with regard to the social and cultural status of society.…”

Section: Discussionmentioning

confidence: 99%

Non-invasive evaluation of voiding function in asymptomatic primary school children

et al. 2008

View full text Add to dashboard Cite

This study aimed to evaluate the voiding characteristics of primary school children by using questionnaires and non-invasive diagnostic tools. The voiding characteristics of 212 healthy children in two primary schools were evaluated with ultrasound for bladder wall thickness (BWT) in association with the Pediatric Lower Urinary Tract Symptom Score (PLUTSS), familial questionnaire, uroflowmetry (UF) and urinalysis. Most of the children (70%) had achieved urinary and fecal continence between the ages of 18 months and 36 months. Twenty-five per cent of healthy children void fewer than four times or more than seven times per day. Ninety percent of children had a PLUTSS within normal ranges (< 9). Fifteen percent of patients had a uroflowmetric pattern other than bell-shaped. The peak and average flow rates were higher in girls. Enuresis nocturna was detected in 10% of children. None of the children had documented urinary tract infection. The average BWT from posterior wall at full bladder in healthy children was 1.1 mm. The anterior and posterior BWT measurements before and after micturition were found to be thicker in boys. Regarding the UF pattern, in post-voiding measurements in children with abnormal UF pattern, the bladder walls were thicker. Non-invasive tests in non-symptomatic children showed a range of variability, and these deviations should be kept in mind during the evaluation of voiding characteristics of a child. The symptom scoring system, with the high sensitivity and specificity rates it possesses, is one of the promising tools for this purpose.

show abstract

“…The DVSS has been used widely and translated into other languages (16)(17)(18). However, the drawbacks of this questionnaire were the lack of test-retest reliability and confusing wording of some of the questions asked (3,4).…”

Section: Discussionmentioning

confidence: 99%

Reliability and validity of the Bladder and Bowel Dysfunction Questionnaireamong Turkish children

Narter¹,

Tarhan²,

Narter³

et al. 2017

Turk J Med Sci

View full text Add to dashboard Cite

IntroductionBladder bowel dysfunction (BBD) is common clinical problem in pediatric urology patients. If a specialist takes a medical history meticulously during ambulatory visits by these patients, it can be detected just about 40% (1).These patients present with lower urinary tract symptoms (LUTS) of storage and/or emptying. When this disorder is associated with abnormal bowel patterns such as constipation and encopresis, the term bladder bowel dysfunction (BBD) is used. BBD can lead to development of urinary tract infection (UTI), incontinence, unfavorable outcome on vesicourethral reflux (VUR), and upper or lower urinary tract damage in children. Regarding the sex distribution of this problem, a female to male ratio as high as 5:1 for BBD is reported in the literature (2). However, the epidemiological data about this problem can vary, depending on the definition of BBD.Diagnostic procedures should include taking a medical history, physical examination, voiding and bowel diary, urinalysis, urine culture, urinary ultrasonography, and complementary investigations. In contrast, there is no consensus about reliable and valid methods for evaluation of this problem. There are a few published questionnaires that quantify BBD. Additionally, the International Continence Society (ICS) recommends the use of the Rome III criteria for constipation in children. Extensively, the Bristol Stool Form Scale (BSFS) is used for definition of constipation. Recently, new diagnostic methods were developed for the diagnosis and follow up of dysfunctional micturition symptoms. One of them is named the Bladder and Bowel Dysfunction Questionnaire (BBDQ).In this context, we aimed to evaluate the reliability and validity of a Turkish version of the BBDQ in pediatric urology patients. Patients and methods Study designBetween October 2013 and April 2014, a total of 193 consecutive male (n = 94) and female (n = 99) children were enrolled in this study. While 103 patients with various Background/aim: We developed a Turkish version of the Bladder and Bowel Dysfunction Questionnaire (BBDQ) and evaluated its psychometric properties among Turkish pediatric patients. Materials and methods:The BBDQ was translated into Turkish and then it was back-translated into English. A total of 193 patients were asked to complete the Turkish version of the BBDQ as well as the Dysfunctional Voiding and Incontinence Scoring System (DVISS). In addition, 39 children completed the same questionnaires twice at 2-week intervals for test-retest evaluation.Results: Cronbach's alpha coefficient of the BBDQ was 0.727. Reliability of the test/retest was 0.759 (P < 0.001). Area under the curve of the receiver operating characteristic plot was 0.765. There were statistically significant differences in BBDQ scores between the controls and patients (P < 0.001). Analysis demonstrated moderate convergent validity against the DVISS (r: 0.78, r 2 : 0.601, P < 0.0001). Conclusion:The Turkish version of the BBDQ is a reliable and valid instrument for Turkish pediatric patients with b...

show abstract

Ability of a Normal Dysfunctional Voiding Symptom Score to Predict Uroflowmetry and External Urinary Sphincter Electromyography Patterns in Children

Cited by 43 publications

References 15 publications

Avaliação manométrica anorretal de mulheres adultas com diagnóstico clínico e urodinâmico de bexiga hiperativa

Avaliação manométrica anorretal de mulheres adultas com diagnóstico clínico e urodinâmico de bexiga hiperativa

Non-invasive evaluation of voiding function in asymptomatic primary school children

Reliability and validity of the Bladder and Bowel Dysfunction Questionnaireamong Turkish children

Contact Info

Product

Resources

About