Naslov
Vesicoureteral reflux and urodynamic dysfunction

Autori
Batinić, Danica ; Milošević, Danko ; Topalović-Grković, Marija ; Nižić, Liljana ; Vrljičak, Kristina ; Batinić, Danko ; Turudić, Daniel ;

Izvornik
Urologia internationalis (0042-1138) 90 (2013), 4; 480-483

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Vesicoureteral reflux urodynamic dysfunction children

Sažetak
The concept of vesicoureteral reflux (VUR) as a consequence of congenital anomaly of vesicoureteral junction has undergone changes owing to the finding that such children may have lower urinary tract dysfunction, which produces high intravesical pressure and consequently a predisposition for VUR. The urodynamics was investigated by pressure-flow-EMG study in 132 children with VUR and 162 refluxing units. Only 33 (25.0%) patients had normal urodynamic finding. The most frequent pathological finding was overactive bladder (OAB), found in 59 (44.7%) children, followed by dysfunctional voiding (DV) in 25 (18.9%) children. Children with VUR grades I and II had a higher percentage of pathological urodynamic findings than children with VUR grades III and IV. OAB was more frequent in children under 5 years of age with unilateral and lower grade VUR. It was found equally in children with and without uroinfections. DV was more frequent in children older than 5 years, with bilateral VUR, higher grade VUR and uroinfections. Children with VUR have a high incidence of urodynamic disorders. The results of the study indicate the possible role of urodynamic dysfunction in the pathogenesis of VUR, especially mild one.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA