İşeme Disfonksiyonu Olan Çocukların Üroflov-EMG Patern Sonuçları

GİRİŞ ve AMAÇ: Üroflov-EMG işeme disfonksiyonunda kullanılan non-invaziv bir testtir. Çalışmamızda işeme fonksiyon bozukluğu tanısı alan çocukların üroflov-EMG paternlerini belirledik. GEREÇ ve YÖNTEM: Hastanemiz Ocak 2016 ile Aralık 2016 tarihleri arasında çocuk nefroloji polikliniğine başvuran ve işeme disfonksiyonu tanısı alan 90 hasta incelendi. Bu hastaların şikayet ve semptomları, öykü, fizik muayene, idrar ve idrar kültürü, lumbosakral grafi, üriner sistem ultrasonografi ve rezidü idrar tayini ile üroflov-EMG tetkiki yapıldı. BULGULAR: Hastaların yaş ortalaması 13,26±2,81 yıl olup, 30'u erkek ve 60'ı kızdan oluşmaktadır. Üroflov-EMG paternlerine bakıldığında 90 hastanın 42'sinde (%46,7) stakato, 22 tanesinde (%24,4) plato, 16'sında (%17,8) kesik kesik işeme paterni saptandı. 10 hastada normal işeme paterni ile birlikte 4 tanesinde pozitif EMG aktivitesi belirlendi. TARTIŞMA ve SONUÇ: Çocuklarda işeme disfonksiyonu oldukça sık rastlanan bir sorundur. Hastanın öykü ve fizik muayenesi ile birlikte tanı ve tedavisinde kullanılan üroflovEMG testi non-invazif ve güvenilir bir tetkiktir.

Results of Uroflow-EMG Patterns in Children with Voiding Dysfunction

INTRODUCTION: Uroflow-EMG is a non-invasive test used in voiding dysfunction. We identified uroflow-EMG patterns in children who were diagnosed with voiding dysfunction in our study. METHODS: We studied 90 patients who admitted in our hospital to the pediatric nephrology clinic between January 2016 and December 2016 and diagnosed of voiding dysfunction. All patients underwent a detailed voiding history and clinical assessment, urine and urine culture, lumbosacral radiography, urinary system ultrasonography and residual urine specimen with Uroflow- EMG was performed. RESULTS: The mean age of the patients was 13.26 ± 2.81 years, 30 of them are male and 60 of them are female. When evaluated with Uroflov EMG, 42 (46.7%) staccato, 22 (24.4%) plateau and 16 (17.8%) intermittent voiding patterns were detected. Positive EMG activity was determined in 4 patients with normal voiding pattern in 10 patients DISCUSSION and CONCLUSION: Voiding dysfunction is a common problem in children. The uroflow- EMG is a noninvasive and reliable test used in the diagnosis and treatment of the patient with voiding dysfunction.

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