Use of urodynamics to diagnose continence problems in children

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This article has beendouble-blind peer reviewedIn this article…Physiology of normal bladder functionProcedures and indications for bladder diaries, uroflowmetry and cystometryInterpretation of urodynamic investigationsKey pointsUrinary incontinence is common in children and can persist into adulthoodFailure to adequately diagnose and treat urinary incontinence can lead to psychological distressUrodynamic investigations offer an objective measure of bladder function, improving diagnostic accuracyThe International Children’s Continence Society has published guidelines on urodynamic investigations in childrenCystometry should be considered in children who do not respond to treatment and those with neuropathic bladder or anatomical anomalyUrinary incontinence, which is common in childhood and can persist into adulthood, can lead to psychological distress. Urodynamic studies provide an objective evaluation of lower urinary tract dysfunction in children. The correct application and interpretation of urodynamic investigations can help in the understanding of bladder dysfunction, thereby allowing more-accurate diagnosis and more-appropriate treatment. Results from urodynamic studies can also help provide clear explanation to children and their parents of a bladder condition. This article covers bladder diaries, uroflowmetry and cystometry in paediatric patients.Citation:Clothier J (2018) Use of urodynamics to diagnose continence problems in children. Nursing Times; 114: 10, 29-32.

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