title: [Indications for urodynamic studies in childhood: our experience with 214 surgical patients].
abstract: Between 1983 and 1994, 515 pediatric patients with medical and/or surgical problems underwent urodynamic evaluation. We present the urodynamic findings of 214 children with surgical pathology: 73 cases with vesicoureteral reflux, 26 with urethral stricture, 11 with posterior urethral valves and 104 cases with lipo- and myelomeningocele. We found a high incidence of urodynamic abnormalities associated to these pathologies: 46.5 in patients with vesicoureteral reflux, 88.4% in urethral strictures, 54.4% in posterior urethral valves and 100% in patients with spina bifida. In our opinion, the urodynamic assessment has a contributory role in the indication for corrective surgery; because the knowledge of the vesicourethral complex state will help to stabilize it through a correct individualized medical treatment before surgical treatment, delaying or even avoiding surgery in some cases.
authors.affiliation: Departamento de Pediatría y Cirugía Pediátrica, Hospital General Universitario Gregoŕio Marañón, Madrid.
authors.forename: R
authors.initials: R
authors.lastname: Martín-Crespo Izquierdo
authors.forename: R
authors.initials: R
authors.lastname: Luque Mialdea
authors.forename: J
authors.initials: J
authors.lastname: Cerdá Berrocal
authors.forename: F
authors.initials: F
authors.lastname: Arrojo Vila
mesh_terms: D000367:Age Factors; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008591:Meningomyelocele / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D016135:Spinal Dysraphism / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D014521:Urethra / Q000002:abnormalities / Q000601:surgery; D014525:Urethral Stricture / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D014563:Urodynamics; D014718:Vesico-Ureteral Reflux / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery
vernacular_title: Indicaciones del estudio urodinámico en la infancia: nuestra experiencia en 214 pacientes quirúrgicos.