Natural fill urodynamics and conventional cystometrogram in infants with neurogenic bladder.
OBJECTIVE
We compared findings from natural fill urodynamics and conventional cystometrogram in infants with neurogenic bladder.


METHODS
We retrospectively analyzed data from 19 infants undergoing 24-hour natural fill urodynamics and cystometrogram. The infants concurrently underwent ultrasound. Voided volume, detrusor overactivity, area under the curve (per minute) and baseline detrusor pressure obtained at natural fill urodynamics were compared to cystometric capacity, detrusor overactivity, leak point pressures and bladder compliance obtained at cystometrogram.


RESULTS
Voided volumes during natural fill urodynamics were significantly less than cystometric capacity volumes (p <0.001). Natural fill urodynamics revealed more detrusor overactivity than did cystometrogram. Four infants with leak point pressures greater than 40 cm H2O had detrusor overactivity at natural fill urodynamics. Five patients with leak point pressure less than 40 cm H2O had no detrusor overactivity at natural fill urodynamics or cystometrogram. Four of 5 infants with decreased bladder compliance had baseline detrusor pressure greater than 10 cm H2O and detrusor overactivity.


CONCLUSIONS
Urodynamic parameters obtained at natural fill urodynamics may be associated with cornerstone parameters such as leak point pressure and bladder compliance obtained at cystometrogram.
Jorgensen
Bettina
B
Institute of Clinical Medicine (BJ) and Department of Urology, Section of Pediatric Urology, Aarhus University Hospital-Skejby, Aarhus, Denmark.
Olsen
Lars Henning
LH
Jorgensen
Troels Munch
TM
D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D001743:Urinary Bladder / Q000503:physiopathology*; D001750:Urinary Bladder, Neurogenic / Q000503:physiopathology*; D014563:Urodynamics