[The role and value of urodynamics in the follow-up of children with  surgical bladder augmentation and substitution].
The authors investigated postoperative capacity, compliance of the urinary bladder and urinary continence in children who underwent bladder augmentation and/or bladder substitution for various forms of urinary incontinence. In 20 children, bladder augmentation and/or bladder substitution procedures were performed because of urinary incontinence, upper urinary tract deterioration and/or failure of conservative treatment (oxybutynin, clean intermittent catheterization--ICC). In 2 patients, reaugmentation was necessary. Urodynamic studies were performed on a regular basis, preoperatively and postoperatively. Based on their experiences, the authors conclude that recognition of changes in bladder capacity and/or compliance and especially the risk of developing upper urinary tract changes is only possible by performing urodynamic studies regularly. Urodynamics is also essential in decision making processes regarding redo surgeries (reaugmentation, transient or permanent urinary diversion).
Juhász
Z
Z
Pécsi Tudományegyetem, Altalános Orvostudományi Kar, Gyermekgyógyászati Klinika.
Jainsch
M
M
Hock
A
A
Farkas
A
A
Pintér
A
A
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012086:Reoperation; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000503:physiopathology* / Q000601:surgery*; D014563:Urodynamics