Gündüz İdrar Kaçırması Olan Çocukların Üriner Sistem Ultrasonografisi, Üroflowmetri ve İşeme Günlüğü Sonuçlarının Değerlendirilmesi
Öz
Amaç: Gündüz idrar kaçırma şikayeti ile başvuran çocuk hastalarda üriner sistem ultrasonografisi, üroflowmetri ve işeme günlüğü sonuçlarını incelemeyi amaçladık.
Materyal ve Metot: Çalışmada 5-17 yaş arası gündüz idrar kaçırması olan hastalar retrospektif olarak incelendi. Üriner sistem ultrasonografisi, üroflowmetri ve iki günlük işeme günlükleri kaydedildi. Ayrıntılı öykü ile ek hastalıkları ve ameliyatları belirlendi.
Bulgular: Çalışmaya alınan 1805 hastanın 1039'u (%57,6) kız, 766'sı (%42,4) erkekti ve yaş ortalaması 7,9 ± 2,8 idi. Hastaların 385 (%21,3)’inde anormal USG bulgusu saptandı. İşeme günlüğünde tespit edilen en yüksek mesane kapasitesi, hastaların %41,2'sinde beklenen mesane kapasitesinin altındaydı; karşılaştırıldığında, üroflowmetrede ölçülen mesane kapasitesi %65,4 oranında düşüktü. Gastrointestinal sistem hastalıkları grubundan en sık kabzılık görüldü. Geçirilmiş cerrahi işlem olarak en sık adenoidektomi saptandı.
Sonuç: Bu hastalarda üst üriner sistemde de patoloji saptanabilmektedir bu nedenle, sadece mesane USG ile değil, detaylı üst üriner sistem USG ile de değerlendirilmesi gerektiğini düşünüyoruz. Ayrıca, iyi yapılandırılmış bir işeme günlüğünün, mesane ultrasonografisi ve/veya üroflowmetri ile ölçülen mesane hacmi değerlerine kıyasla daha yeterli veri sağladığını düşünmekteyiz.
Anahtar Kelimeler
Çocuk işeme günlüğü mesane kapasitesi ultrasonografi üroflowmetri
Destekleyen Kurum
YOK
Proje Numarası
YOK
Kaynakça
- Sureshkumar P, Jones M, Cumming R, Craig J. A population based study of 2,856 school-age children with urinary incontinence. J Urol. 2009;181(2):808-815. doi:10.1016/j.juro.2008.10.044
- Chiang IN, Shei-Dei Yang S, Chang SJ. Pathophysiology of daytime urinary ıncontinence in children. Incont Pelvic Floor Dysfunct. 2011;5(4):107-110.
- Marzuillo P, Guarino S, Capalbo D, et al. Interrater reliability of bladder ultrasound measurements in children. J Pediatr Urol. 2020;16(2):219.e211-219.e217. doi:10.1016/j.jpurol.2019.12.015
- Oktay C, Işık G. Role of transabdominal ultrasonography in the evaluation of pediatric patients with daytime wetting: A single-center pilot study. J Ultrasound Med. 2022. doi:10.1002/jum.16148
- O’Connor E, Riogh AN, Karavitakis M, Monagas S, Nambiar A.. Diagnosis and non-surgical management of urinary ıncontinence a literature review with recommendations for practice. Int J Gen Med. 2021;14:4555–4565 2021. doi:10.2147/IJGM.S289314
- Franco I, Shei-Dei Yang S, Chang SJ, Nussenblatt B, Franco JA. A quantitative approach to the interpretation of uroflowmetry in children. Neurourol Urodyn. 2016;35(7):836-846. doi:10.1002/nau.22813
- Dayanc MM, Kibar Y, Irkilata HC, et al. Effect of voided volume on voiding patterns and reliability of uroflowmetry-electromyography results in children with lower urinary tract dysfunction. Low Urin Tract Symptoms. 2017;9(1):46-51. doi:10.1111/luts.12108
- Şen G. Investigation of hypercalciuria and hyperuricosuria in children with lower urinary system dysfunction. Pamukkale University, Faculty of Medicine, Department of Child Health and Diseases, Specialization Thesis. Denizli, Türkiye. 2017.
- Swithinbank LV, Heron J, Von Gontard A, Abrams P. The natural history of daytime urinary incontinence in children: a large British cohort. Acta Paediatr. 2010;99(7):1031-1036. doi:10.1111/j.1651-2227.2010.01739.x
- Chung JM, Lee SD, Kang DI, et al. An epidemiologic study of voiding and bowel habits in Korean children: a nationwide multicenter study. Urology. 2010;76(1):215-219. doi:10.1016/j.urology.2009.12.022
- Luo Y, Zou P, Wang K, Cui Z, Li X, Wang J. Prevalence and associated factors of urinary ıncontinence among Chinese adolescents in Henan province: A cross-sectional survey. Int J Environ Res Public Health. 2020;17(17):6106. doi:10.3390/ijerph17176106
- Heron J, Grzeda MT, Von Gontard A, Wright A, Joinson C. Trajectories of urinary incontinence in childhood and bladder and bowel symptoms in adolescence: prospective cohort study. BMJ Open. 2017;7(3):e014238. doi:10.1136/bmjopen-2016-014238
- Fananapazir G , Kitich A, Lamba R, Stewart SL, Corwin MT. Normal reference values for bladder wall thickness on CT in a healthy population. Abdom Radiol (NY). 2018;43(9):2442-2445. doi:10.1007/s00261-018-1463-x
- Marzuillo P, Guarino S, Capalbo D et al. Interrater reliability of bladder ultrasound measurements in children. Journal of Pediatric Urology. 2020;16(2):219.e1-219.e7. doi:10.1016/j.jpurol.2019.12.015
- Matsumoto M, Tsutaoka T, Yabunaka K et al. Development and evaluation of automated ultrasonographic detection of bladder diameter for estimation of bladder urine volume. PLoS One. 2019;14(9):e0219916. doi:10.1371/journal.pone.0219916
- Lopes I, Veiga ML, Braga AA, Brasil CA, Hoffmann A, Barroso U Jr. A two-day bladder diary for children: Is it enough? J Pediatr Urol. 2015;11(6):348.e341-344. doi:10.1016/j.jpurol.2015.04.032
- Chang SJ, Chen JY, Chiang IN, Yang SS. Lowest acceptable bladder capacity for interpretation of uroflowmetry tests in children. Low Urin Tract Symptoms. 2017;9(3):161-165. doi:10.1111/luts.12128
- Samijn B, Van Laecke E, Vande Walle J, et al. Uroflow measurement combined with electromyography testing of the pelvic floor in healthy children. Neurourol Urodyn. 2019;38(1):231-238. doi:10.1002/nau.23836
- Gontard AV, Kuwertz-Bröking E. the diagnosis and treatment of enuresis and functional daytime urinary ıncontinence. Dtsch Arztebl Int. 2019;116(16):279-285. doi:10.3238/arztebl.2019.0279
- Jessen AS, Hagstroem S, Borch L. Comparison and characteristics of children successfully treated for daytime urinary incontinence. J Pediatr Urol. 2022;18(1):24.e1-24.e9. doi:10.1016/j.jpurol.2021.11.013
- Özen MA, Mutluer T, Necef I, et al. The overlooked association between lower urinary tract dysfunction and psychiatric disorders: a short screening test for clinical practice. J Pediatr Urol. 2019;15(4):332.e331-332.e335. doi:10.1016/j.jpurol.2019.03.025
The Evaluation of Urinary System Ultrasonography, Uroflowmetry, and Voiding Diary Results in Children with Daytime Urinary Incontinence
Öz
Objective: The study aimed to examine the results of urinary system ultrasonography, uroflowmetry, and voiding diary for children with daytime urinary incontinence.
Materials and Methods: Patients aged 5-17 with daytime urinary incontinence were retrospectively analysed. Urinary system ultrasonography, uroflowmetry, and a two-day voiding diary were recorded. Comorbid diseases and surgeries were determined using a detailed history.
Results: Of the 1805 patients included in the study, 1039 (57.6%) were female, 766 (42.4%) were male, and the mean age was 7.9 ± 2.8 years. Abnormal USG findings were detected in 385 (21.3%) patients. The highest bladder capacity detected in the voiding diary was below the expected bladder capacity in 41.2% of the patients; in comparison, the bladder capacity measured in the uroflowmetry was low in 65.4%. Constipation was the most common in the gastrointestinal system diseases group. In previous surgery, adenoidectomy was the most common procedure.
Conclusions: We suggest that these patients should be evaluated not only with bladder USG but also with upper urinary system USG. Pathology can also be detected in the upper urinary system. We think that a well-structured voiding diary provides sufficient data regarding bladder volume instead of bladder volume measured by bladder ultrasonography and/or uroflowmetry.
Anahtar Kelimeler
Bladder capacity children ultrasonography uroflowmetry voiding diary
Proje Numarası
YOK
Kaynakça
- Sureshkumar P, Jones M, Cumming R, Craig J. A population based study of 2,856 school-age children with urinary incontinence. J Urol. 2009;181(2):808-815. doi:10.1016/j.juro.2008.10.044
- Chiang IN, Shei-Dei Yang S, Chang SJ. Pathophysiology of daytime urinary ıncontinence in children. Incont Pelvic Floor Dysfunct. 2011;5(4):107-110.
- Marzuillo P, Guarino S, Capalbo D, et al. Interrater reliability of bladder ultrasound measurements in children. J Pediatr Urol. 2020;16(2):219.e211-219.e217. doi:10.1016/j.jpurol.2019.12.015
- Oktay C, Işık G. Role of transabdominal ultrasonography in the evaluation of pediatric patients with daytime wetting: A single-center pilot study. J Ultrasound Med. 2022. doi:10.1002/jum.16148
- O’Connor E, Riogh AN, Karavitakis M, Monagas S, Nambiar A.. Diagnosis and non-surgical management of urinary ıncontinence a literature review with recommendations for practice. Int J Gen Med. 2021;14:4555–4565 2021. doi:10.2147/IJGM.S289314
- Franco I, Shei-Dei Yang S, Chang SJ, Nussenblatt B, Franco JA. A quantitative approach to the interpretation of uroflowmetry in children. Neurourol Urodyn. 2016;35(7):836-846. doi:10.1002/nau.22813
- Dayanc MM, Kibar Y, Irkilata HC, et al. Effect of voided volume on voiding patterns and reliability of uroflowmetry-electromyography results in children with lower urinary tract dysfunction. Low Urin Tract Symptoms. 2017;9(1):46-51. doi:10.1111/luts.12108
- Şen G. Investigation of hypercalciuria and hyperuricosuria in children with lower urinary system dysfunction. Pamukkale University, Faculty of Medicine, Department of Child Health and Diseases, Specialization Thesis. Denizli, Türkiye. 2017.
- Swithinbank LV, Heron J, Von Gontard A, Abrams P. The natural history of daytime urinary incontinence in children: a large British cohort. Acta Paediatr. 2010;99(7):1031-1036. doi:10.1111/j.1651-2227.2010.01739.x
- Chung JM, Lee SD, Kang DI, et al. An epidemiologic study of voiding and bowel habits in Korean children: a nationwide multicenter study. Urology. 2010;76(1):215-219. doi:10.1016/j.urology.2009.12.022
- Luo Y, Zou P, Wang K, Cui Z, Li X, Wang J. Prevalence and associated factors of urinary ıncontinence among Chinese adolescents in Henan province: A cross-sectional survey. Int J Environ Res Public Health. 2020;17(17):6106. doi:10.3390/ijerph17176106
- Heron J, Grzeda MT, Von Gontard A, Wright A, Joinson C. Trajectories of urinary incontinence in childhood and bladder and bowel symptoms in adolescence: prospective cohort study. BMJ Open. 2017;7(3):e014238. doi:10.1136/bmjopen-2016-014238
- Fananapazir G , Kitich A, Lamba R, Stewart SL, Corwin MT. Normal reference values for bladder wall thickness on CT in a healthy population. Abdom Radiol (NY). 2018;43(9):2442-2445. doi:10.1007/s00261-018-1463-x
- Marzuillo P, Guarino S, Capalbo D et al. Interrater reliability of bladder ultrasound measurements in children. Journal of Pediatric Urology. 2020;16(2):219.e1-219.e7. doi:10.1016/j.jpurol.2019.12.015
- Matsumoto M, Tsutaoka T, Yabunaka K et al. Development and evaluation of automated ultrasonographic detection of bladder diameter for estimation of bladder urine volume. PLoS One. 2019;14(9):e0219916. doi:10.1371/journal.pone.0219916
- Lopes I, Veiga ML, Braga AA, Brasil CA, Hoffmann A, Barroso U Jr. A two-day bladder diary for children: Is it enough? J Pediatr Urol. 2015;11(6):348.e341-344. doi:10.1016/j.jpurol.2015.04.032
- Chang SJ, Chen JY, Chiang IN, Yang SS. Lowest acceptable bladder capacity for interpretation of uroflowmetry tests in children. Low Urin Tract Symptoms. 2017;9(3):161-165. doi:10.1111/luts.12128
- Samijn B, Van Laecke E, Vande Walle J, et al. Uroflow measurement combined with electromyography testing of the pelvic floor in healthy children. Neurourol Urodyn. 2019;38(1):231-238. doi:10.1002/nau.23836
- Gontard AV, Kuwertz-Bröking E. the diagnosis and treatment of enuresis and functional daytime urinary ıncontinence. Dtsch Arztebl Int. 2019;116(16):279-285. doi:10.3238/arztebl.2019.0279
- Jessen AS, Hagstroem S, Borch L. Comparison and characteristics of children successfully treated for daytime urinary incontinence. J Pediatr Urol. 2022;18(1):24.e1-24.e9. doi:10.1016/j.jpurol.2021.11.013
- Özen MA, Mutluer T, Necef I, et al. The overlooked association between lower urinary tract dysfunction and psychiatric disorders: a short screening test for clinical practice. J Pediatr Urol. 2019;15(4):332.e331-332.e335. doi:10.1016/j.jpurol.2019.03.025
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Çocuk Ürolojisi |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Proje Numarası | YOK |
| Erken Görünüm Tarihi | 13 Aralık 2023 |
| Yayımlanma Tarihi | 18 Aralık 2023 |
| Gönderilme Tarihi | 13 Temmuz 2023 |
| Kabul Tarihi | 26 Ekim 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 8 Sayı: 4 |
