ICS educational module: Pressure flow study in children

Wen, Jian Guo; Djurhuus, Jens C.; Bauer, Stuart B.

doi:10.1002/nau.23730

Cited by 14 publications

(15 citation statements)

References 10 publications

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“…Currently, sEMG is an important component of pressure-flow study (the voiding cystometry) in children, and it is a useful tool and gold standard for evaluating the voiding phase problems of lower urinary tract in children. 23 Although it has been shown that sEMG is applicable and interpretable in children, it has not gained popularity among pediatric urologists. 24 The development of the technology has facilitated that retest reliability of sEMG is very high.…”

Section: Discussionmentioning

confidence: 99%

“…EMG can be performed during voiding or filling phase of lower urinary tract. Currently, sEMG is an important component of pressure‐flow study (the voiding cystometry) in children, and it is a useful tool and gold standard for evaluating the voiding phase problems of lower urinary tract in children . Although it has been shown that sEMG is applicable and interpretable in children, it has not gained popularity among pediatric urologists .…”

Section: Discussionmentioning

confidence: 99%

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The effects of pelvic floor muscle therapy on symptoms, voiding, and pelvic floor muscle activity parameters in children with overactive bladder

Pekbay¹,

Ergin

Topuz

et al. 2019

Neurourology and Urodynamics

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Introduction Refractory overactive bladder (OAB) in children can be treated with second line modalities such as as biofeedback, transcutaneous electrical stimulation (TENS), and botulinum toxin. In this study, we aimed to investigate the efficacy of biofeedback‐assisted pelvic floor muscle therapy (PFMT) on symptoms, bladder capacity, uroflowmetry, and pelvic floor muscle activity (PFMA) in children with resistant OAB or dysfunctional voiding (DV) with associated seconder bladder overactivity (DV/SBO). Materials and Methods A total of 24 children with resistant OAB were included in the study. Patients were divided into two groups as: group‐1 pure OAB and group‐2 DV/SBO. Children were evaluated with voiding diary, uroflowmetry‐EMG, PFMA before and after treatment. All patients were treated with PFMT. Results Urgency cured or improved in 12 of 17 (71%) of children in group‐1 and in six of seven (86%) children in group‐2 (P < 0.0001 and 0.031, respectively). Other symptoms cured or improved with 64%‐100% recovery rates in group‐1 and 50%‐80% in group‐2. Maximum voided volume (maxVV) in voiding diary increased from 81.6 to 150.9 mL in group‐1 and from 115.6 to 175.7 mL in group‐2 (P < 0.0001 and 0.063, respectively). Mean work value of PFMA increased and mean rest value of PFMA decreased significantly (P < 0.0001, 0.018 and P = 0.002 and 0.018, respectively). Conclusion The measurement of PFMA in children with refractory OAB or DV/SBO gives information on the strength and endurance of PFMs. In children with refractory OAB or DV/SBO, biofeedback‐assisted PFMT provides symptomatic improvement and increases functional bladder capacity.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The effects of pelvic floor muscle therapy on symptoms, voiding, and pelvic floor muscle activity parameters in children with overactive bladder

Pekbay¹,

Ergin

Topuz

et al. 2019

Neurourology and Urodynamics

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“…After FC, PFS was performed in all children. The PFS starting point was accepted when the child and urodynamicist allowed voiding or when involuntary voiding began 5 . In very young children it is not always possible to follow voiding instructions and DOA can be confused with voiding detrusor pressure.…”

Section: Methodsmentioning

confidence: 99%

“…The PFS starting point was accepted when the child and urodynamicist allowed voiding or when involuntary voiding began. 5 In very young children it is not always possible to follow voiding instructions and DOA can be confused with voiding detrusor pressure. Therefore, DOA at the near-maximum capacity was neglected and interpreted as normal.…”

Section: Methodsmentioning

confidence: 99%

The results of three times repeated filling cystometry and pressure flow studies in children with non‐neurogenic lower urinary tract dysfunction

Ergün¹,

Sekerci

Tanıdır

et al. 2022

Neurourology and Urodynamics

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Aim: We previously reported that some urodynamic parameters change with repetitive filling in children with neurogenic lower urinary tract dysfunction (LUTD). In this study, we aimed to search if three-times repeated filling cystometries (FC) and pressure-flow studies (PFS) would change the urodynamics parameters in children with non-neurogenic LUTD.Materials and Methods: All children with three repeated FC and PFS between June 2017 and December 2018 were included in the study. Urodynamic reports and charts were evaluated retrospectively. The first sensation of bladder filling (FSBF), maximum cystometric capacity (MCC), detrusor pressure at the FSBF (P det.first.sens ), maximum detrusor pressure during filling (P det.fill.max ), presence of detrusor over activity, compliance, maximum urine flow (Qmax), detrusor pressure at the maximum urine flow (PdetQmax), residual urine and presence of detrusor sphincter dyssynergy (DSD) were compared among three-times repeated urodynamic studies. Results: Forty children were included in the study. 27 (67.5%) were girls and 13 (32.5%) were boys. Median age was 9 (3.4-17) years. Indications were LUTD with low grade vesicoureteral reflux in 19 (47.5%), LUTD refractory to conservative management in 13 (32.5%), urinary tract infection with LUTD in 6 (15%) and secondary enuresis in 2 (5%). P det.first.sens , presence of DO, MCC, Qmax, PdetQmax, residual urine, flow pattern, and presence of DSD were comparable in all three repeated tests. The third FC may show decreased filling detrusor pressures and increased compliance with no change on capacity. Conclusion:In children with non-neurogenic LUTD, three-times repeated FC and PFS present comparable results except FSBF, P det.fill.max, and compliance at the third test.

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“…Üroflovmetri, günümüzde alt üriner sistemin fonksiyonel değerlendirilmesinde en sık kullanılan ve göreceli olarak objektif bilgi sağlayabilen bir tanı aracıdır (1). Bu tanısal testte hastanın bilgisayar sistemine bağlı bir hazneye idrarını yapması sağlanır.…”

Section: Introductionunclassified

Üroflovmetri Yardımıyla Alt Üriner Sistemin Fonksiyonel Değerlendirilmesinde Dikkat Edilmesi Gerekenler

Kocalar¹,

Kocalar²

2020

ndthdt

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Üroflovmetri, günümüzde alt üriner sistemin fonksiyonel değerlendirilmesinde en sık kullanılan ve göreceli olarak objektif bilgi sağlayabilen bir tanı aracıdır. Alt üriner sistem bozukluklarının tanısında ilk basamak tanı testi olan üroflovmetri sonuçları birçok faktörden etkilenebilmektedir. Bu derlemede alt üriner sistem değerlendirmesinde üroflovmetrininen uygun olarak kullanılabilmesi için gereken bilgiler; üroflovmetri testinin istendiği durumlar, üroflovmetri sonuçlarının doğruluğunu etkileyen durumlar, mesane doluluğu ile ilgili hastanın dikkat etmesi gereken noktalar, hasta mahremiyetinin sağlanması, üroflovmetri odasının özellikleri, üroflovmetri cihazları ve kalibrasyon, üroflovmetri testinin değerlendirilmesi, üroflovmetri işleminde hemşirenin görev ve sorumlulukları başlıkları altında açıklanmıştır. Bu sayede ülkemizde hemşirelik uygulamalarında yüksek standardın yakalanması ve hastaların en uygun tanı hizmetini alması hedeflenmektedir.

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ICS educational module: Pressure flow study in children

Abstract: Following ICS and ICCS guidelines, PFS is an easy procedure and a useful tool to provide information on voiding function in children.

Cited by 14 publications

References 10 publications

The effects of pelvic floor muscle therapy on symptoms, voiding, and pelvic floor muscle activity parameters in children with overactive bladder

The effects of pelvic floor muscle therapy on symptoms, voiding, and pelvic floor muscle activity parameters in children with overactive bladder

The results of three times repeated filling cystometry and pressure flow studies in children with non‐neurogenic lower urinary tract dysfunction

Üroflovmetri Yardımıyla Alt Üriner Sistemin Fonksiyonel Değerlendirilmesinde Dikkat Edilmesi Gerekenler

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