Bladder dysfunction in infants with primary vesicoureteric reflux.
There is growing evidence that bladder dysfunction is a negative prognostic factor for spontaneous resolution of vesicoureteric reflux (VUR). This study evaluated the prevalence of urodynamic abnormalities in infants with primary VUR who were referred over a 4-year period. The urodynamic evaluations and medical records of 54 infants with primary VUR (79 ureters with reflux) were reviewed prospectively. Urodynamic dysfunction was observed in 46.3% (n = 25) of infants with primary VUR; 35.2% (n = 19) had a low bladder capacity and 11.1% (n = 6) had a large bladder capacity. All infants with large bladder capacities also had high grade (IV - V) VUR. In conclusion, there was a close relationship between bladder dysfunction and primary VUR. For that reason, urodynamic testing of infants with primary VUR should be performed as part of routine clinical evaluations.
Demirbag
S
S
Department of Paediatric Surgery, Gulhane Military Medical Academy, Ankara, Turkey. suzidemirbag@gmail.com
Atabek
C
C
Caliskan
B
B
Guven
A
A
Sakarya
M T
MT
Surer
I
I
Ozturk
H
H
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011312:Pressure; D001743:Urinary Bladder / Q000503:physiopathology*; D014554:Urination / Q000502:physiology; D014563:Urodynamics / Q000502:physiology; D014718:Vesico-Ureteral Reflux / Q000503:physiopathology*