Jason P Van Batavia1, Andrew J Combs2,3. 1. Division of Urology, Children's Hospital of Philadelphia, 3rd Floor, Wood Building, 34th and Civic Center Blvd, Philadelphia, PA, 19104, USA. vanbatavij@email.chop.edu. 2. Department of Urology, New York Presbyterian-Weill Cornell Medical Center, New York, NY, USA. 3. Institute for Pediatric Urology, 525 East 68th Street, Box 94, Room F918, New York, NY, 10065, USA.
Abstract
PURPOSE OF REVIEW: The symptoms of lower urinary tract dysfunction (LUTD) including urinary incontinence, frequency, and urgency are among the most common reasons children are referred to pediatric urologists. Despite this, the workup for LUTD is often time consuming and a source of frustration for patients, parents, and clinicians alike. In the current review, we summarize the important role non-invasive testing plays in the diagnosis and management of children with LUTD and to show how use of these tests can help avoid the need for more invasive testing in the majority of children. RECENT FINDINGS: Non-invasive tests such urine studies, uroflowmetry ± simultaneous electromyography, assessment of post-void residual, renal/bladder ultrasound, and pelvic ultrasound when used appropriately can provide valuable information to facilitate decision making during the evaluation of children with LUTD. While these tests should be employed prior to more invasive testing such as urodynamic studies, they can often act as a surrogate for the more invasive tests. Non-invasive tests can help us in our goal of improving diagnostic ability to better classify the child's LUTD into an actual condition which allows targeted treatment in the hope of better outcomes and more satisfied patients and families.
PURPOSE OF REVIEW: The symptoms of lower urinary tract dysfunction (LUTD) including urinary incontinence, frequency, and urgency are among the most common reasons children are referred to pediatric urologists. Despite this, the workup for LUTD is often time consuming and a source of frustration for patients, parents, and clinicians alike. In the current review, we summarize the important role non-invasive testing plays in the diagnosis and management of children with LUTD and to show how use of these tests can help avoid the need for more invasive testing in the majority of children. RECENT FINDINGS: Non-invasive tests such urine studies, uroflowmetry ± simultaneous electromyography, assessment of post-void residual, renal/bladder ultrasound, and pelvic ultrasound when used appropriately can provide valuable information to facilitate decision making during the evaluation of children with LUTD. While these tests should be employed prior to more invasive testing such as urodynamic studies, they can often act as a surrogate for the more invasive tests. Non-invasive tests can help us in our goal of improving diagnostic ability to better classify the child's LUTD into an actual condition which allows targeted treatment in the hope of better outcomes and more satisfied patients and families.
Entities:
Keywords:
EMG lag time; Non-invasive testing; Pediatrics; Uroflowmetry with EMG; Voiding dysfunction
Authors: Jae Hyeon Han; Jang Hui Lee; Jaebeom Jun; Min Uk Park; Je Seong Lee; Sungchan Park; Sang Hoon Song; Kun Suk Kim Journal: Investig Clin Urol Date: 2020-06-19