Kürşad ZENGİN, Nevzat Can ŞENER, Umut ÜNAL, Hakan ERÇİL, Adem ALTUNKOL, Erbay TÜMER, Ediz VURUŞKAN, Abdurrahim İMAMOĞLU

Non-nörojenik alt üriner sistem disfonksiyonu olan çocukların tedavisinde üroterapinin etkinliği

sistem disfonksiyonu NNAUSD sıklıkla görülmektedir. Biz bu çalışmada, uroterapi ile tedavi edilmiş NNAUSD sonuclarimizi sunmayi amaçladık. Gereç ve Yöntemler: Ocak 2013- Eylül 2013 arasında kliniğimize başvurmuş olan 21 non-nörojenik işeme disfonksiyonlu hasta çalışmaya dahil edildi. Hastaların değerlendirilmesinde detaylı anamnez, işeme bozukluğu semptom skoru İBSS formu, fizik muayene, idrar tahlili ve gerekli durumlarda idrar kültürü, işeme günlüğü, serum üre ve kreatinin değerleri, lumbosakral grafi, üroflow-EMG ve üriner ultrasonografi kullanıldı. Tüm hastalara üroterapi verildi, 3 ay sonraki kontrolde yeniden değerlendirildi. Bulgular: Hastaların yaş ortalaması 10.47±3.08 idi 7-17 . Bu hastaların altısı erkek %28.6 , on beşi kız idi %71.4 . Tedavi öncesi İBSS değerleri ortalaması 19.19±4.28’di. Tedavi sonrası İBSS ortalaması 5.57±2.94 olarak değerlendirildi. Bu değer, tedavi öncesi ile kıyaslandığında anlamlı olarak düzelmiş olarak bulundu p

Anahtar Kelimeler:

Çocuk hasta, mesane disfonksiyonu, üroterapi

Efficacy of urotherapy in children with non-neurogenic lower urinary system dysfunction

Objectıves: Non-neurogenic lower urinary tract dysfunction NNLUTD is rather common in pediatric age group. In this study, we aimed to present the results of patients whom we treated by urotherapy. Materıal and Methods: Twenty-one patients applied to our clinic between January-September 2013 with NNLUTD were enrolled into the study. Detailed history, Bladder Dysfunction Symptom Questionnaire BDSQ , Physical examination, urinalysis and urine culture, micturition diary, plasma urea and creatinine, lumbosacral x-ray, uroflow-EMG and urinary ultrasonography was used to evaluate the patients. All patients were managed by urotherapy and were called to re-evaluate after three months. Results: Mean patient age was 10.47±3.08 7-17 . Six of those patients were male 28.6% and fifteen was female 71.4% . Mean BDSQ were 19.19±4.28 and 5.57±2.94 before and after treatment, respectively p

Keywords:

Pediatric patient, Bladder Dysfunction, Urotherapy,

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