Long-Term Bladder Function Followup in Boys with Posterior Urethral Valves: Comparison of Noninvasive vs Invasive Urodynamic Studies

Capitanucci, Maria Luisa; Marciano, Armando; Zaccara, Antonio; Sala, Edoardo La; Mosiello, Giovanni; Gennaro, M. De

doi:10.1016/j.juro.2012.04.121

Cited by 19 publications

(9 citation statements)

References 20 publications

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“…13 However, our historical data was not complete for us to calculate the score, but we will do that in our prospective database. 16 Ghanum et al performed a retrospective of 116 boys with posterior urethral valves; urodynamic abnormalities were detected in 93 of 116 boys (80 per cent). Approximately 80 per cent of patients with posterior urethral valve eventually develop some form of bladder dysfunction.…”

Section: Discussionmentioning

confidence: 99%

“…14,15 The most common urodynamic findings in this group are detrusor overactivity and hypercontractility in infancy and early childhood, normal and low compliant bladder in childhood and myogenic failure with over distended bladder in adolescence. 16 Ghanum et al performed a retrospective of 116 boys with posterior urethral valves; urodynamic abnormalities were detected in 93 of 116 boys (80 per cent). They concluded that patients with a loss of compliance and detrusor overactivity had a statistically-significant poor prognosis.…”

Section: Discussionmentioning

confidence: 99%

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Wireless ambulatory urodynamic study: A 6‐year retrospective review in a tertiary paediatric urological referral centre

et al. 2018

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Aim: Urodynamic study is a functional assessment of the lower urinary tract. It has an essential role in the evaluation of paediatric patients with lower urinary tract symptoms, be it due to neurogenic or nonneurogenic causes. Since 2013, we have introduced wireless ambulatory form of the study. In the present study, we performed a baseline review of our paediatric urodynamic service within a 6-year period to determine its indications, outcomes and complications. Patients and Methods: A retrospective review of all urodynamic studies performed between August 2011 and April 2017 in patients <18 years of age was performed. Demographics, including age and sex, and indications were collected. Urodynamic parameters, including type of catheter used, presence of detrusor overactivity, bladder compliance, end-fill detrusor pressure, maximum voiding detrusor pressure, postvoid residual bladder volume and bladder emptying efficiency, were collected. Complications from either catheter insertion or the urodynamic study itself were documented. Results: Sixty-seven studies were done between the study period in 55 patients (16 females and 39 males). Fifty-eight ambulatory studies with natural and conventional fill were performed since 2013. The median age at study was 2.1 years (range 0.1-17 years). Indications included myelodysplasia (61 per cent, n = 41 studies), bilateral high-grade vesicoureteric reflux (18 per cent, n = 12), dysfunctional voiding (15 per cent, n = 10) and patient with posterior urethral valve (6 per cent, n = 4). Suprapubic catheters were used in 62 studies in patients with urethral sensation, and transurethral catheters were used in five studies. Overall, 53 studies were considered abnormal (79.1 per cent). No complications resulted from suprapubic catheter insertion or urodynamic studies. Conclusion: Ambulatory urodynamic studies using our unit's protocol remain safe and child friendly, with minimal complications and high patient and parent satisfaction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Wireless ambulatory urodynamic study: A 6‐year retrospective review in a tertiary paediatric urological referral centre

et al. 2018

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“…Also with early valve ablation, gradual detrusor “decompensation” and/or secondary BOO and finally DU or acontractility may be expected in a proportion of boys. It is reasonable to follow these patients by non‐invasive UDS exams and iUDS when clinical progression is noted …”

Section: Urodynamic Testing In Children With Urinary Incontiencementioning

confidence: 99%

International Consultation on Incontinence 2016; Executive summary: Urodynamic testing

Kuo

Gennaro²,

Gammie

et al. 2018

Neurourology and Urodynamics

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Aims The International Consultation on Incontinence has published an update of the recommendations for the diagnosis and management of urine incontinence (ICI2016). This manuscript summarizes the consultations committee—recommendations with regard to urodynamic assessment. Methods Expert consensus on the basis of structured evidence assessment has been the basis of the consultations publication and has been summarized by the committee for this manuscript. Results Patients that are not satisfied with their initial management on the basis of their reported signs and symptoms of urinary incontinence, as well as all patients with neurological abnormalities that are potentially relevant for the function of the lower urinary tract, may very likely profit from objective diagnosis and staging and grading of their dysfunction, with urodynamic testing, regardless their age, vulnerability and/or comorbidities. The principles and technical innovations as well as the principal recommendations for the utilization of (invasive) urodynamic assessment for women, men, children, and vulnerable elderly, with or without neurogenic lower urinary tract dysfunction with urinary incontinence are provided in this abbreviated ICI recommendations‐document. Conclusions The ICI2016 committee on urodynamics presents an executive summary of the most important reasons and recommendations for the use of urodynamic investigations for patients with urinary incontinence.

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“…However, it seems to be reasonable to perform them with each change in employed therapeutic method. 33 …”

Section: Urodynamic Studiesmentioning

confidence: 99%

Valve bladder syndrome in children: On the trail of the best strategies to prevent chronic kidney disease

Polak−Jonkisz¹,

Rehan²,

Fornalczyk³

et al. 2017

Adv Clin Exp Med

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Pediatric patients suffering from valve bladder syndrome (VBS) are at risk of developing chronic kidney disease (CKD) and renal failure in later life. Therefore, it is of vital importance to determine the risk factors and the best possible strategies for diagnosis and treatment in patients with VBS that would minimize the risk of developing CKD. In this review we have presented the current knowledge of CKD risk factors in patients with posterior urethal value (PUV). We have also discussed possible recommendations for prenatal diagnostics procedures to be undertaken in patients with PUV, postnatal monitoring and therapeutic strategies that could reduce the risk of developing CKD in this population. Although in most cases there are no clear guidelines for appropriate clinical actions that can be undertaken in patients with PUV to minimize the risk of kidney failure, we have tried to present concise and accurate advice for physicians taking care of patients with PUV.

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Long-Term Bladder Function Followup in Boys with Posterior Urethral Valves: Comparison of Noninvasive vs Invasive Urodynamic Studies

Cited by 19 publications

References 20 publications

Wireless ambulatory urodynamic study: A 6‐year retrospective review in a tertiary paediatric urological referral centre

Wireless ambulatory urodynamic study: A 6‐year retrospective review in a tertiary paediatric urological referral centre

International Consultation on Incontinence 2016; Executive summary: Urodynamic testing

Valve bladder syndrome in children: On the trail of the best strategies to prevent chronic kidney disease

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