Voiding Dysfunction: What Can Radiologists Tell Patients and Pediatric Urologists?
OBJECTIVE
Imaging children with dysfunctional voiding remains a challenge because 98% of these children have normal anatomy. Identifying the 1-2% of children who do have an anatomic basis for incontinence is important; this article focuses on how pediatric urologists use imaging for the evaluation of patients with this condition.


CONCLUSIONS
Imaging a patient with dysfunctional voiding can provide findings that will allow an accurate diagnosis and lead to optimal management. The key for the pediatric urologist is using imaging studies judiciously because the diagnostic yield is low. If every patient with dysfunctional voiding who presents to the clinic undergoes imaging, there will be little gain. Understanding in which patients to try imaging sooner versus trying medical and behavioral management first is a function of experience.
1 Department of Surgery, Division of Urology, The Children's Hospital of Philadelphia, 34th and Civic Center Blvd, Wood Bldg, 3rd Fl, Philadelphia, PA 19104.|2 Department of Urology, The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Stephen A
SA
Zderic
1 Department of Surgery, Division of Urology, The Children's Hospital of Philadelphia, 34th and Civic Center Blvd, Wood Bldg, 3rd Fl, Philadelphia, PA 19104.|2 Department of Urology, The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.
Dana A
DA
Weiss
D002648:Child; D002675:Child, Preschool; D003952:Diagnostic Imaging; D006801:Humans; D012307:Risk Factors; D014555:Urination Disorders / Q000175:diagnosis* / Q000503:physiopathology
bladder physiology; detrusor sphincter dyssynergia; ectopic ureter; pediatric urology