Abstract
Vajinal reflü, miksiyon sırasında idrarın geri akım ile
vajen içerisine doğru birikimidir. Bu durum genellikle prepubertal kızlarda görülen ve
yapısal anormalliğin olmadığı fonksiyonel bir işeme bozukluğudur. Asemptomatik bakteriüriden
tekrarlayan idrar yolu enfeksiyonu ve gündüz idrar kaçırmaya kadar değişik
bulgularla ortaya çıkabilir. Bu yazıda idrar yolu enfeksiyonu öyküsü ve gündüz
idrar kaçırma şikayeti ile başvuran ve vajinal reflü saptanan iki olgu sunulmuştur.
İlk hasta 9 yaşındaydı ve tekrarlayan idrar yolu enfeksiyonu nedeniyle istenen işeme
sistoüretrogramda, işemenin erken fazında vajinaya doğru geri dolum tespit
edildi. On yaşındaki ikinci hasta idrar kaçırma şikayetiyle başvurdu ve üriner sistem ultrasonografisinde vajende, miksiyon
sonrası kaybolan sıvı birikimi tespit edildi. Her iki hastaya da tuvalet
eğitimi verildi ve takiplerinde şikayetleri kayboldu.
References
- Referans1 Ballek NK, McKenna PH. Lower urinary tract dysfunction in childhood. Urol Clin N Am 2010;37:215-28. Referans2 Austin PF, Bauer SB, Bower W, Chase J, Franco I, Hoebeke P, et al. The standardization of terminology of lower urinary tract function in children and adolescents: Update report from the standardization committee of the International Children's Continence Society. Neurourol Urodyn 2016;35:471-81. Referans3 Mattsson S, Gladh G. Urethrovaginal reflux--a common cause of daytime incontinence in girls. Pediatrics 2003;111:136-9. Referans4 Balani A, Alwala S, Kumar DA, Karnawat A, Marda SS, Zanke RB. Nonobstructive hydrocolpos due to vesicovaginal reflux: expanding the differential diagnosis. Jpn J Radiol 2015;33:287-90. Referans5 Kilicoglu G, Aslan AR, Oztürk M, Karaman IM, Simsek MM. Vesicovaginal reflux: recognition and diagnosis using ultrasound. Pediatr Radiol 2010;40:114-7.
Abstract
Vaginal reflux is defined as reflux of urine back into the
vaginal vault during voiding. This condition is a type of lower urinary tract dysfunction commonly
seen in prepubertal girls without structural abnormalities. The clinical presentation
is diverse, varying from asymptomatic bacteriuria to recurrent urinary tract
infections, and urinary incontinence. In this case report, we present two cases of vaginal reflux presented with urinary
tract infection and urinary incontinence. The first patient was a 9-year-old girl
with a complaint of recurrent urinary
tract infection. Voiding cystourethrogram demonstrated retrograde filling of
the vagina during early voiding phase. The second patient was 10 years old who
had urinary incontinance and urinary tract ultrasonography revealed a
collection of the vagina that disappeared after voiding. The patients were
managed with toilet training, and remained free of symptoms afterwards.
References
- Referans1 Ballek NK, McKenna PH. Lower urinary tract dysfunction in childhood. Urol Clin N Am 2010;37:215-28. Referans2 Austin PF, Bauer SB, Bower W, Chase J, Franco I, Hoebeke P, et al. The standardization of terminology of lower urinary tract function in children and adolescents: Update report from the standardization committee of the International Children's Continence Society. Neurourol Urodyn 2016;35:471-81. Referans3 Mattsson S, Gladh G. Urethrovaginal reflux--a common cause of daytime incontinence in girls. Pediatrics 2003;111:136-9. Referans4 Balani A, Alwala S, Kumar DA, Karnawat A, Marda SS, Zanke RB. Nonobstructive hydrocolpos due to vesicovaginal reflux: expanding the differential diagnosis. Jpn J Radiol 2015;33:287-90. Referans5 Kilicoglu G, Aslan AR, Oztürk M, Karaman IM, Simsek MM. Vesicovaginal reflux: recognition and diagnosis using ultrasound. Pediatr Radiol 2010;40:114-7.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | June 15, 2019 |
| Published in Issue | Year 2019 |