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23.04.2024 | Review

Urodynamics in the Pediatric and Transitional Patient Population: Over Fifty Years of Insights

verfasst von: V. M. Ramakrishnan, H. Thaker, H. H. S. Wang, C. R. Estrada Jr., S. B. Bauer, T. Lee

Erschienen in: Current Bladder Dysfunction Reports

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Abstract

Purpose of Review

Urodynamics is pivotal in understanding lower urinary tract pathophysiology. While essential, its utility in pediatric and transitional patient populations has been challenged by evolving paradigms and ongoing controversies. This review elucidates the fundamental principles of urodynamics, its worldwide variations, confounding factors, and most importantly, its critical role in the management of genitourinary conditions.

Recent Findings

Multiple articles have demonstrated advances and challenges in performing, interpreting, and comparing urodynamic studies.

Summary

Urodynamics serves as an invaluable tool for assessing lower urinary tract function. Technologies such as needle EMG and machine learning modeling can further enhance its utility, especially in scenarios calling for nuanced approaches to neuro-urologic management.

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12.

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20.

• Yerkes EB, et al. Translating pediatric urodynamics from clinic into collaborative research: Lessons and recommendations from the UMPIRE study group. J Pediatr Urol. 2021;17(5):716–25. https://doi.org/10.1016/j.jpurol.2021.05.004. The article presents a call to standardize the lexicon of UDS.CrossRefPubMed

21.

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22.

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Mahajan ST, Fitzgerald MP, Kenton K, Shott S, Brubaker L. Concentric needle electrodes are superior to perineal surface-patch electrodes for electromyographic documentation of urethral sphincter relaxation during voiding. BJU Int. 2006;97(1):117–20. https://doi.org/10.1111/j.1464-410X.2006.05890.x.CrossRefPubMed

24.

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25.

• Finkelstein JB, et al. Anxiety, distress, and pain in pediatric urodynamics. Neurourol Urodyn. 2020;39(4):1178–84. https://doi.org/10.1002/nau.24339. Highlights UDS factors that affect patient and caregiver anxiety.CrossRefPubMed

26.

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27.

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28.

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29.

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31.

Yiou R, Audureau E, Loche CM, Dussaud M, Lingombet O, Binhas M. Comprehensive evaluation of embarrassment and pain associated with invasive urodynamics. Neurourol Urodyn. 2015;34(2):156–60. https://doi.org/10.1002/nau.22521.CrossRefPubMed

32.

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33.

Farhat W, Bagli DJ, Capolicchio G, O'Reilly S, Merguerian PA, Khoury A, McLorie GA. The dysfunctional voiding scoring system: quantitative standardization of dysfunctional voiding symptoms in children. J Urol. 2000;164(3 Pt 2):1011–5. https://doi.org/10.1097/00005392-200009020-00023.CrossRefPubMed

34.

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35.

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36.

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37.

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38.

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39.

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45.

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46.

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Titel: Urodynamics in the Pediatric and Transitional Patient Population: Over Fifty Years of Insights
verfasst von: V. M. Ramakrishnan
H. Thaker
H. H. S. Wang
C. R. Estrada Jr.
S. B. Bauer
T. Lee
Publikationsdatum: 23.04.2024
Verlag: Springer US
Erschienen in: Current Bladder Dysfunction Reports
Print ISSN: 1931-7212
Elektronische ISSN: 1931-7220
DOI: https://doi.org/10.1007/s11884-024-00751-9

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Urodynamics in the Pediatric and Transitional Patient Population: Over Fifty Years of Insights

Abstract

Purpose of Review

Recent Findings

Summary

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