Role of spinning top urethra in dysfunctional voiding

Kutlu, Ömer; Koksal, Ismail Turker; Günteki̇n, Erol; Kukul, Erdal

doi:10.3109/00365590903445223

Cited by 12 publications

(5 citation statements)

References 23 publications

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“…It is suggested that the minimum threshold for normal bladder compliance is 20 mL/cmH 2 O 31 . Several studies considered a compliance lower than 10 mL/cm H 2 O as low bladder compliance 32,33 . In this study, we determined that 39.3% of the patients had renal scarring.…”

Section: Discussionmentioning

confidence: 82%

“…31 Several studies considered a compliance lower than 10 mL/cm H 2 O as low bladder compliance. 32,33 In this study, we determined that 39.3% of the patients Dysfunctional voiding is a dysmotility of lower urinary tract disorders which is characterized by bladder outlet obstruction because of dyssynergic external sphincteric activity during voiding without neurological problems and structural disease. 34 Dysfunctional voiding causes detrusor hypertrophy, increased postvoid residual, and raised intravesical pressure during filling.…”

Section: Resultsmentioning

confidence: 99%

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The risk factors for recurrence of febrile urinary tract infection and renal scarring in children with functional urinary incontinence

Cetın

Tufan

Tokar

2020

LUTS

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Objectives: Functional urinary incontinence is often associated with recurrent urinary tract infection (UTI), vesicoureteral reflux (VUR), and renal scarring. This study aims to evaluate the correlations between urodynamic findings and recurrence of UTI, VUR, and renal scarring in children with functional incontinence. Methods: In this retrospective observational study, data on the presence of VUR, urodynamics and 99Tc-dimercaptosuccinic acid scintigraphy findings, and episodes of febrile UTI were obtained from patientsʼ records. The patients had at least 3 years of follow-up. Results: There were significant associations between recurrence of UTI and decreased bladder capacity (hazard ratio: 1.321, P = .028). The receiver operator characteristic curve analysis showed a cutoff value for compliance of 13.25 mL/cmH 2 O for renal scarring (P = .000). There was a significant association between bladder wall thickening and VUR (odds ratio: 2.311, P = .008). The compliance had a cutoff value of 14.7 mL/cm H 2 O (P = .023) for severe VUR. The frequency of renal scarring was higher in patients with severe VUR and dysfunctional voiding (P = .001 and P = .041, respectively). The independent risk factors for renal scarring were low compliance, severe VUR, and dysfunctional voiding in children with functional incontinence, but recurrence of febrile UTI was not a risk factor for renal scarring. Decreased bladder capacity was a risk factor for recurrence of febrile UTI. Conclusions: The present study suggests that low compliance, severe VUR, and dysfunctional voiding, but not the recurrence of febrile UTI, are the independent risk factors for renal scarring in children with functional incontinence, and decreased bladder capacity is the risk factor for the recurrence of febrile UTI.

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Section: Discussionmentioning

confidence: 82%

Section: Resultsmentioning

confidence: 99%

The risk factors for recurrence of febrile urinary tract infection and renal scarring in children with functional urinary incontinence

Cetın

Tufan

Tokar

2020

LUTS

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“…Eighty-four children with STU were compared to 70 children with dysfunctional voiding and normal urethral width in a retrospective study on neurologically intact children with dysfunctional voiding. STU was more common in females and related to recurrent UTIs, VUR, poor bladder compliance, and an increase in voiding pressure [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

The Role of a Spinning Top Urethra in the Development of Pyosalpinx in a Precoital Female

Andrews¹,

Hicar²,

Islam³

2022

Cureus

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Pelvic inflammatory disease (PID) is commonly related to sexual intercourse in postpubescent females. Inflammation of the fallopian tubes (pyosalpinx) is a common complication. We describe a case of anatomic spinning top-shaped urethra that led lead to complicated recurrent severe abdominal infections in an 11year-old precoital female. This case highlights that prepubescent females can have pyosalpinx and pelvic inflammatory disease and anatomic contributions to these presentations should be considered.

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“…[45] Kutlu et al ., found a spinning top urethra in 55% of children with DV evaluated by voiding cystourethrogram. [46] These children had significantly higher voiding pressures and were more prone to recurrent urinary infections and reflux. MCUG is recommended in all patients with symptomatic voiding difficulty.…”

Section: Micturating Cystourethrogrammentioning

confidence: 99%

Dysfunctional voiding: A review of the terminology, presentation, evaluation and management in children and adults

Sinha

2011

Indian J Urol

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Dysfunctional voiding (DV) is a voiding disorder characterized by dyssynergic striated sphincteric activity in the absence of a proven neurological etiology. It can present at any age with a spectrum of storage and voiding symptoms that may resemble florid neurogenic bladder. There is a striking lack of clarity regarding what this entity represents, the diagnostic methodology and treatment. The limitations of existing guideline documents are analyzed. Specifically, use of the term “habitual”, the assumption that bladder changes are secondary to the outlet, the emphasis on “staccato” voiding and the implication of striated urethral sphincter are discussed. Literature shows that DV may also present with continuous slow flow or normal flow. Dyssynergia may be at the level of the striated urethral sphincter, the pelvic floor or both, better termed “striated urethral sphincter-pelvic floor complex” (SUS-PFC).A diagnostic algorithm is provided so that patients are evaluated on merit rather than on the basis of different philosophies of individual centers. High-risk markers such as hydronephrosis, vesicoureteral reflux, renal failure or marked voiding difficulty should prompt a formal urodynamics evaluation and imaging for neurological etiology. Patients with predominantly storage symptoms with incidental staccato voiding can be managed initially, on the basis of non-invasive evaluation. Conservative urotherapy including biofeedback is appropriate initial management for patients without high risk factors. Treatment and evaluation should be escalated based on response. Patients with severe DV will need treatment similar to neurogenic bladder including clean intermittent catheterization and measures to control storage pressures.

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Role of spinning top urethra in dysfunctional voiding

Cited by 12 publications

References 23 publications

The risk factors for recurrence of febrile urinary tract infection and renal scarring in children with functional urinary incontinence

The risk factors for recurrence of febrile urinary tract infection and renal scarring in children with functional urinary incontinence

The Role of a Spinning Top Urethra in the Development of Pyosalpinx in a Precoital Female

Dysfunctional voiding: A review of the terminology, presentation, evaluation and management in children and adults

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