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Current Bladder Dysfunction Reports
Published in: Current Bladder Dysfunction Reports 3/2018

01-09-2018 | Pediatric Voiding Dysfunction (D Clayton and J Thomas, Section Editors)

Utility of Urodynamics in Children with Dysfunctional Voiding

Author: Israel Franco

Published in: Current Bladder Dysfunction Reports | Issue 3/2018

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Abstract

Purpose of Review

This review will allow the reader to understand the rationale for urodynamic testing in a child who is neurologically intact and is suspected of having dysfunctional voiding. We will look to define criteria that will prevent the overuse and unnecessary use of this invasive test in children.

Recent findings

The literature does not support the routine use of invasive urodynamics for children with urge syndrome but does support its use for elucidation of dysfunctional voiding abnormalities in neurologically intact children.

Summary

The child with functional voiding issues presents itself with factors that are different from the child with neurogenic causes of incontinence. The role of the brain cannot be taken out of the equation in the normal sensate child and its impact can be quite significant leading to results that may not be what is actually occurring in day to day life. It is also critical that the person ordering VUD understand that there is limited value in ordering these tests for urge incontinence and frequency since the diagnosis of DO can be made for the most part from the history. Judicious use of the VUD study can be quiet valuable in allowing the user to pinpoint in complex cases the cause of the incontinence or poor voiding dynamics that are present. VUD should be a final choice in the workup of the sensate child with functional voiding problems and rarely used as a first line evaluation.
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Metadata
Title
Utility of Urodynamics in Children with Dysfunctional Voiding
Author
Israel Franco
Publication date
01-09-2018
Publisher
Springer US
Published in
Current Bladder Dysfunction Reports / Issue 3/2018
Print ISSN: 1931-7212
Electronic ISSN: 1931-7220
DOI
https://doi.org/10.1007/s11884-018-0466-3

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Apical Prolapse: Is There a Best Approach?

Overactive Bladder and Lower Urinary Tract Symptoms (U Lee and S Adelstein, Section Editors)

Does Urodynamics Impact the Outcomes of Third-line Therapy of Refractory OAB (or Refractory Urgency Urinary Incontinence)?

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AUA Guidelines on Stress Urinary Incontinence: What Is New in the Guidelines?

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The Role of Chemical Sphincterotomy with Urethral Botulinum Toxin Injection in Patients with Neurogenic and Non-neurogenic Failure to Empty

Overactive Bladder and Lower Urinary Tract Symptoms (U Lee and S Adelstein, Section Editors)

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