The Evaluation of Urinary System Ultrasonography, Uroflowmetry, and Voiding Diary Results in Children with Daytime Urinary Incontinence

Öz

Objective: The study aimed to examine the results of urinary system ultrasonography, uroflowmetry, and voiding diary for children with daytime urinary incontinence. Materials and Methods: Patients aged 5-17 with daytime urinary incontinence were retrospectively analysed. Urinary system ultrasonography, uroflowmetry, and a two-day voiding diary were recorded. Comorbid diseases and surgeries were determined using a detailed history. Results: Of the 1805 patients included in the study, 1039 (57.6%) were female, 766 (42.4%) were male, and the mean age was 7.9 ± 2.8 years. Abnormal USG findings were detected in 385 (21.3%) patients. The highest bladder capacity detected in the voiding diary was below the expected bladder capacity in 41.2% of the patients; in comparison, the bladder capacity measured in the uroflowmetry was low in 65.4%. Constipation was the most common in the gastrointestinal system diseases group. In previous surgery, adenoidectomy was the most common procedure. Conclusions: We suggest that these patients should be evaluated not only with bladder USG but also with upper urinary system USG. Pathology can also be detected in the upper urinary system. We think that a well-structured voiding diary provides sufficient data regarding bladder volume instead of bladder volume measured by bladder ultrasonography and/or uroflowmetry.

Anahtar Kelimeler

• Bladder capacity
• children
• ultrasonography
• uroflowmetry
• voiding diary

Gündüz İdrar Kaçırması Olan Çocukların Üriner Sistem Ultrasonografisi, Üroflowmetri ve İşeme Günlüğü Sonuçlarının Değerlendirilmesi

Öz

Amaç: Gündüz idrar kaçırma şikayeti ile başvuran çocuk hastalarda üriner sistem ultrasonografisi, üroflowmetri ve işeme günlüğü sonuçlarını incelemeyi amaçladık. Materyal ve Metot: Çalışmada 5-17 yaş arası gündüz idrar kaçırması olan hastalar retrospektif olarak incelendi. Üriner sistem ultrasonografisi, üroflowmetri ve iki günlük işeme günlükleri kaydedildi. Ayrıntılı öykü ile ek hastalıkları ve ameliyatları belirlendi. Bulgular: Çalışmaya alınan 1805 hastanın 1039'u (%57,6) kız, 766'sı (%42,4) erkekti ve yaş ortalaması 7,9 ± 2,8 idi. Hastaların 385 (%21,3)’inde anormal USG bulgusu saptandı. İşeme günlüğünde tespit edilen en yüksek mesane kapasitesi, hastaların %41,2'sinde beklenen mesane kapasitesinin altındaydı; karşılaştırıldığında, üroflowmetrede ölçülen mesane kapasitesi %65,4 oranında düşüktü. Gastrointestinal sistem hastalıkları grubundan en sık kabzılık görüldü. Geçirilmiş cerrahi işlem olarak en sık adenoidektomi saptandı. Sonuç: Bu hastalarda üst üriner sistemde de patoloji saptanabilmektedir bu nedenle, sadece mesane USG ile değil, detaylı üst üriner sistem USG ile de değerlendirilmesi gerektiğini düşünüyoruz. Ayrıca, iyi yapılandırılmış bir işeme günlüğünün, mesane ultrasonografisi ve/veya üroflowmetri ile ölçülen mesane hacmi değerlerine kıyasla daha yeterli veri sağladığını düşünmekteyiz.

Anahtar Kelimeler

• Çocuk
• işeme günlüğü
• mesane kapasitesi
• ultrasonografi
• üroflowmetri

Kaynakça

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