NATURAL FILLING CYSTOMETRY IN INFANTS AND CHILDREN

被引:53
作者
YEUNG, CK
GODLEY, ML
DUFFY, PG
RANSLEY, PG
机构
[1] INST CHILD HLTH,DEPT PAEDIAT UROL,LONDON,ENGLAND
[2] GREAT ORMOND ST HOSP CHILDREN NHS TRUST,LONDON,ENGLAND
来源
BRITISH JOURNAL OF UROLOGY | 1995年 / 75卷 / 04期
关键词
PEDIATRICS; URODYNAMICS; TECHNIQUES;
D O I
10.1111/j.1464-410X.1995.tb07278.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objective To evaluate natural filling cystometry in infants and young children. Patients and methods The study group comprised 37 infants and young children (mean age, 4.1 years) with various urological conditions. Suprapubic catheters were used in all patients with urethral sensation. Natural filling urodynamic (NFU) studies were performed using an ambulatory recorder and with an observer present throughout. For comparison, 17 of the 37 patients also had slow filling conventional cystometry (CMG). Results All NFU studies were successfully completed and the great majority of patients were unaffected by the investigation procedures. In comparison with conventional cystometry there were significant differences. For NFU, there was a lower bladder capacity (means, NFU 122 mL vs CMG 188 mL, P < 0.03); lower pressure rise on filling (means, NFU 5.7 cmH(2)O vs CMG 16.1 cmH(2)O, P < 0.001) and higher maximum detrusor pressures during micturition (means, NFU 130 cmH(2)O vs CMG 78 cmH(2)O, P < 0.01). Voiding efficiency was also slightly greater with NFU compared with CMG. Detrusor instability was recorded in five patients only during NFU and in two other patients only during CMG. Conclusion A natural filling cystometry method which incorporates an unobtrusive recording system is likely to be superior to conventional CMG for assessing bladder function in infants and children. This is because (i) bladder function is investigated in near to natural conditions, (ii) the patients are mostly unaffected by the investigation procedures, (iii) there are significant differences between NFU and CMG in the measurements obtained, indicating that CMG may give false indices of bladder function.
引用
收藏
页码:531 / 537
页数:7
相关论文
共 19 条
[1]   CONTINUOUS AMBULATORY URODYNAMIC MONITORING [J].
BHATIA, NN ;
BRADLEY, WE ;
HALDEMAN, S ;
JOHNSON, BK .
BRITISH JOURNAL OF UROLOGY, 1982, 54 (04) :357-359
[2]   CHANGING CONCEPTS IN URODYNAMIC EVALUATION OF CHILDREN [J].
BLAIVAS, JG ;
LABIB, KL ;
BAUER, SB ;
RETIK, AB .
JOURNAL OF UROLOGY, 1977, 117 (06) :778-781
[3]   BLADDER COMPLIANCE AND DETRUSOR ACTIVITY DURING THE COLLECTION PHASE [J].
COOLSAET, B .
NEUROUROLOGY AND URODYNAMICS, 1985, 4 (04) :263-273
[4]   MONITORING OF UPPER URINARY-TRACT PRESSURES IN THE AMBULATORY PATIENT [J].
COPTCOAT, MJ ;
WATKINSON, L ;
DUFFY, P .
BRITISH JOURNAL OF UROLOGY, 1988, 61 (06) :465-467
[5]   AMBULATORY MONITORING OF BLADDER AND DETRUSOR PRESSURE DURING NATURAL FILLING [J].
GRIFFITHS, CJ ;
ASSI, MS ;
STYLES, RA ;
RAMSDEN, PD ;
NEAL, DE .
JOURNAL OF UROLOGY, 1989, 142 (03) :780-784
[6]   CYSTOMETRY IN CHILDREN [J].
GROSSMAN, HB ;
KOFF, SA ;
DIOKNO, AC .
JOURNAL OF UROLOGY, 1977, 117 (05) :646-648
[7]  
HANNA K, 1981, J UROLOGY, V125, P530
[8]   ESTIMATING BLADDER CAPACITY IN CHILDREN [J].
KOFF, SA .
UROLOGY, 1983, 21 (03) :248-248
[9]   THE UNINHIBITED BLADDER IN CHILDREN - EFFECT OF TREATMENT ON RECURRENCE OF URINARY-INFECTION AND ON VESICOURETERAL REFLUX RESOLUTION [J].
KOFF, SA ;
MURTAGH, DS .
JOURNAL OF UROLOGY, 1983, 130 (06) :1138-1141
[10]   PROGNOSTIC VALUE OF URODYNAMIC TESTING IN MYELODYSPLASTIC PATIENTS [J].
MCGUIRE, EJ ;
WOODSIDE, JR ;
BORDEN, TA ;
WEISS, RM .
JOURNAL OF UROLOGY, 1981, 126 (02) :205-209