URODYNAMIC STUDY IN CHILDREN WITH RECURRENT URINARY TRACT INFECTIONS

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MADANI ABAS; POURNASIRI Z.; KAJBAFZADEH ABD ALMOHAMMAD; ATAEI N.A.; MOHSENI P.; ESFAHANI S.T.

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Journal: TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ) Year:2007 | Volume:65 | Issue:6 Page(s): 48-53

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Title

URODYNAMIC STUDY IN CHILDREN WITH RECURRENT URINARY TRACT INFECTIONS

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Keywords

RECURRENT UTIQ2

URODYNAMICQ3

URINARY TRACT INFECTIONQ3

VESICOURETERAL REFLUX (VUR)Q3

URINARY DYSFUNCTIONQ3

Abstract

Background: Impairment in the function of the lower urinary tract can be the cause of recurrent URINARY TRACT INFECTIONs (UTI) and vesico-ureteral reflux (VUR) in children.The purpose of our research was to evaluate the frequency of occurrence of bladder instability in children with UTI.Methods: The research involved 133 children (11 boys, 122 girls), ranging in age from seven months to 14 years. Group A consisted of 78 children with a history of RECURRENT UTI, while Group B included 55 children with RECURRENT UTI and VUR. URODYNAMIC tests (cystometry) were performed on all the children.Results: Abnormal functioning of the lower urinary tract was found in 98 children (73.1%) from Group A and 41 children (78.8%) from Group B. The most common dysfunction was detrusor-sphincter dyssynergia (DSD), which was found in 54% of all subjects, 46.2% of patients in Group A and 60% of patients in Group B (p<0.05).Unstable bladder was found in 42 (33%) children with no significant difference between the two groups. In 17 children (12.6%) DSD was accompanied by bladder instability. In both groups about 20% of the children did not present with symptoms indicative of urination dysfunction, where as 80% reported various symptoms, of which the most common were constipation and urinary urgency. In half of the children from Group A and one-fourth of the children from Group B there were several co-occurring symptoms: frequency, urgency, intermittent voiding, incontinence, dribbling and retention, and constipation.Conclusions: The most common disturbance of lower urinary tract function in these children with RECURRENT UTI was DSD, which occurred more often in children with VUR.

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APA: Copy

MADANI, ABAS, POURNASIRI, Z., KAJBAFZADEH, ABD ALMOHAMMAD, ATAEI, N.A., MOHSENI, P., & ESFAHANI, S.T.. (2007). URODYNAMIC STUDY IN CHILDREN WITH RECURRENT URINARY TRACT INFECTIONS. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 65(6), 48-53. SID. https://sid.ir/paper/39345/en

Vancouver: Copy

MADANI ABAS, POURNASIRI Z., KAJBAFZADEH ABD ALMOHAMMAD, ATAEI N.A., MOHSENI P., ESFAHANI S.T.. URODYNAMIC STUDY IN CHILDREN WITH RECURRENT URINARY TRACT INFECTIONS. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2007;65(6):48-53. Available from: https://sid.ir/paper/39345/en

IEEE: Copy

ABAS MADANI, Z. POURNASIRI, ABD ALMOHAMMAD KAJBAFZADEH, N.A. ATAEI, P. MOHSENI, and S.T. ESFAHANI, “URODYNAMIC STUDY IN CHILDREN WITH RECURRENT URINARY TRACT INFECTIONS,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 65, no. 6, pp. 48–53, 2007, [Online]. Available: https://sid.ir/paper/39345/en

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