Do uroflowmetric findings change by treatment of urinary tract infection in girls with dysfunctional voiding?

The goal of the study was to evaluate the efficiency of repeated uroflowmetry study in girls who present with dysfunctional voiding with normal radiologic evaluation. Materials and methods: Twenty five children (25 girls with a mean age of 8.9 years) with recurrent urinary tract infection (UTI) and dysfunctional voiding who have normal radiologic evaluation were prospectively evaluated by uroflowmetry tests. Uroflowmetry study was repeated after the UTI treatment in asymptomatic period. Results: Mean urine volume was 254.31 ± 199.49 cc and the mean micturition time was 25.22 ± 15.43 s at the first uroflowmetry. Prolonged micturition time was noted in 8 (32%) patients. At the second uroflowmetry, mean urine volume was 370.77 ± 217.89 cc, and the mean micturition time was 29.63 ± 26.42 s. Prolonged micturition time was noted in 7 (28%) patients. Flow pattern curve was bell-shaped in 9 patients and abnormal in 16 patients (64%). In the second investigation a normal flow pattern curve was noted in 10 patients and an abnormal pattern in 15 patients. Conclusion: There was no difference between pre- and post-treatment uroflowmetry pattern in patients with dysfunctional voiding. Uroflowmetry investigation is not a very proper way for follow-up.

Do uroflowmetric findings change by treatment of urinary tract infection in girls with dysfunctional voiding?

The goal of the study was to evaluate the efficiency of repeated uroflowmetry study in girls who present with dysfunctional voiding with normal radiologic evaluation. Materials and methods: Twenty five children (25 girls with a mean age of 8.9 years) with recurrent urinary tract infection (UTI) and dysfunctional voiding who have normal radiologic evaluation were prospectively evaluated by uroflowmetry tests. Uroflowmetry study was repeated after the UTI treatment in asymptomatic period. Results: Mean urine volume was 254.31 ± 199.49 cc and the mean micturition time was 25.22 ± 15.43 s at the first uroflowmetry. Prolonged micturition time was noted in 8 (32%) patients. At the second uroflowmetry, mean urine volume was 370.77 ± 217.89 cc, and the mean micturition time was 29.63 ± 26.42 s. Prolonged micturition time was noted in 7 (28%) patients. Flow pattern curve was bell-shaped in 9 patients and abnormal in 16 patients (64%). In the second investigation a normal flow pattern curve was noted in 10 patients and an abnormal pattern in 15 patients. Conclusion: There was no difference between pre- and post-treatment uroflowmetry pattern in patients with dysfunctional voiding. Uroflowmetry investigation is not a very proper way for follow-up.

___

  • Scheme J, Brands FH, Pannah. Voiding dysfunction in children: role of urodynamic studies. J. Urol Int 2002; 69: 297-301. 2. Mc Lellan, Cardozo L. Urodynamic Techniques. Int Urogynecol J 2001;12: 266-270. 3. Kajbafzadeh AM, Yazdi CA, Rouhi O, Tajik P, Mohseni P. Uroflowmetry nomogram in Iranian children aged 7 to 14. BMC Urology 2005; 16: 5:3. 4. Shaikh N, Abedin S, Docımo SG. Can ultrasonography or uroflowmetry predict which children with voiding dysfunction will have recurrent urinary tract infections? J Urology 2005; 174: 1620-1633.
  • American Academy of Pediatrics. Practice parameter: the diagnosis, treatment, and evaluation of the initial urinary tract infection in febrile infants and young children. Pediatrics. 1999; 103: 843-56.
  • Naseer SR, Steinhardt GF. New renal scars in children with urinary tract infections, vesicoureteral reflux and voiding dysfunction: a prospective evaluation. J Urol. 1997; 158:566-8.
  • Snodgrass W. Relationship of voiding dysfunction to urinary tract infection and vesicoureteral reflux in children. Urology. 1991; 38:341-4.
  • Bratslavsky G, Feustel PJ, Aslan AR, Kogan BA. Recurrence risk in infants with urinary tract infections and a negative radiographic evaluation. J Urol. 2004;172:1610-3.
  • Havlen BT, Ashby D, Sutherst JR, Frazer MI, West CR. Maximum and average urine flow rates in normal male and female populations- the Liverpool nomograms. BJ Urology 1989; 64: 30-38.
  • Pernkopf D, Plas E, Lang T, Daha K, Kubin K, Treu T et al. Uroflow nomogram for male adolescents. J Urology 2005: 174: 1436-39.
  • The effects of bladder over distention on voiding function in kindergarteners. Yang SS, Chang SJ J Urol 2008; 180: 2177-82.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: 6
  • Yayıncı: TÜBİTAK
Sayıdaki Diğer Makaleler

The effects of adding methylprednisolone to low-potassium dextran solution on preserved ischemic lungs

Ali YEGİNSU, Makbule ERGİN, Hüseyin ÖZYURT, Çiğdem ELMAS, Güleser ÇAĞLAR GÖKTAŞ

Four cases of myotonia congenita in a Turkish family

Recep AYGÜL, Dilcan KOTAN, Gökhan ÖZDEMİR

The efficacy, safety, and pharmacokinetics of intramuscular and oral phenyramidol in patients with low back pain in an emergency department

Onur POLAT, Hakan ERGÜN, Müge GÜNALP, N. Arda DEMİRKAN, Serdar GÜRLER

Bursa ili, Nilüfer ilçesinde, gıda işçilerinde asemptomatik bakteri taşıyıcılığı

Kayıhan PALA, Cüneyt ÖZAKIN, Nalan AKIŞ, Melda SINIRTAŞ, Suna GEDİKOĞLU, Hamdi AYTEKİN

Comparison of serum levels of IL-6, IL-8, TNF-α, C reactive protein and heat shock protein 70 in patients with active or inactive Behçet’s disease

Ayşe Serap KARADAĞ, Remzi KARADAĞ, Yüksel TOTAN, Ramazan YİĞİTOĞLU, Gülfer AKBAY, Murat AYDIN, Ramazan YAĞCI, Cemile KOCA, Meral EKŞİOĞLU

Ali SIZLAN, Uğur GÖKTAŞ, Ceyda ÖZHAN, Mehmet Özgür ÖZHAN, Mehmet Emin ORHAN, Ercan KURT

Abnormal hemoglobins associated with the beta-globin gene in Antalya province, Turkey

İbrahim KESER, Akif YEŞİLİPEK, Duran CANATAN, Güven LÜLECİ

Investigation of the causative agents for community-acquired pneumonia in adult patients

Yasemin ZER, Nazan BAYRAM, İclal BALCI, Ayten FİLİZ

The relationship between daily caffeine consumption and withdrawal symptoms: a questionnaire-based study

Nermin KÜÇER

Acil servise bel ağrısı şikayeti ile başvuran hastalarda oral ve i.m. feniramidolün etkililiği, güvenliliği ve farmakokinetik özellikleri

Hakan ERGÜN, Onur POLAT, N. Arda DEMİRKAN, Müge GÜNALP, Serdar GÜRLER