Ooi SM, Kane N, Khosa J, Barker A, Samnakay N. Lower urinary tract dysfunction in children after intravesical ureteric reimplantation surgery under one year of age.
J Pediatr Urol 2014;
10:1139-44. [PMID:
24953546 DOI:
10.1016/j.jpurol.2014.05.004]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2013] [Accepted: 05/21/2014] [Indexed: 11/15/2022]
Abstract
OBJECTIVE
To report the results of a study conducted on voiding function in children who have undergone intravesical trans-trigonal Cohen ureteric reimplantation surgery before the age of one year.
SUBJECTS
Twenty-eight children (18 males, 10 females) had surgery at a mean age of 4.9 months (range 8-352 days).
METHODS
Bladder function was assessed at a mean age of 7.3 years using questionnaires, the dysfunctional voiding scoring system, PinQ quality of life tool, uroflowmetry and post-void residuals.
RESULTS
Of the total children, 72% had normal lower urinary tract (LUT) function. Eight children (28%) had evidence of LUT dysfunction, two had urge incontinence, two had giggle incontinence, two had voiding postponement, one had dysfunctional elimination syndrome and one had evidence of dysfunctional voiding. Five of the eight children were managed with continence physiotherapy (urotherapy) and one required ongoing anticholinergic therapy.
CONCLUSION
When compared to the published rates of LUT dysfunction in the general paediatric community, no evidence was found to suggest an increased incidence of bladder dysfunction in children undergoing intravesical Cohen ureteric reimplantation surgery under one year of age.
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