Early treatment improves urodynamic prognosis in neurogenic voiding dysfunction: 20 years of experience
Objective: To evaluate the association between early treatment and urodynamic improvement in pediatric and adolescent patients with neurogenic bladder. Methodology: Retrospective longitudinal and observational study (between 1990 and 2013) including patients with neurogenic bladder and myelomeningoc...
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doaj-7d7a784df32a4bfaa6d2feb22e66b9692020-11-24T23:37:15ZporElsevierJornal de Pediatria (Versão em Português)2255-55362017-07-0193442042710.1016/j.jpedp.2017.04.004Early treatment improves urodynamic prognosis in neurogenic voiding dysfunction: 20 years of experienceLucia M. Costa Monteiro0Glaura O. Cruz1Juliana M. Fontes2Eliane T.R.C. Vieira3Eloá N. Santos4Grace F. Araújo5Eloane G. Ramos6Fundação Oswaldo Cruz (Fiocruz), Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF), Ambulatório de Urodinâmica Pediátrica, Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz (Fiocruz), Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF), Ambulatório de Urodinâmica Pediátrica, Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz (Fiocruz), Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF), Ambulatório de Urodinâmica Pediátrica, Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz (Fiocruz), Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF), Serviço de Informática, Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz (Fiocruz), Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF), Departamento de Radiologia, Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz (Fiocruz), Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF), Ambulatório de Urodinâmica Pediátrica, Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz (Fiocruz), Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF), Departamento de Pesquisa Clínica, Rio de Janeiro, RJ, BrasilObjective: To evaluate the association between early treatment and urodynamic improvement in pediatric and adolescent patients with neurogenic bladder. Methodology: Retrospective longitudinal and observational study (between 1990 and 2013) including patients with neurogenic bladder and myelomeningocele treated based on urodynamic results. The authors evaluated the urodynamic follow‐up (bladder compliance and maximum bladder capacity and pressure) considering the first urodynamic improvement in two years as the outcome variable and early referral as the exposure variable, using a descriptive and multivariate analysis with logistic regression model. Results: Among 230 patients included, 52% had an early referral. The majority were diagnosed as overactive bladder with high bladder pressure (≥40 cm H2O) and low bladder compliance (3 mL/cmH2O) and were treated with oxybutynin and intermittent catheterization. Urodynamic follow‐up results showed 68% of improvement at the second urodynamic examination decreasing bladder pressure and increasing bladder capacity and compliance. The percentage of incontinence and urinary tract infections decreased over treatment. Early referral (one‐year old or less) increased by 3.5 the probability of urodynamic improvement in two years (95% CI: 1.81–6.77). Conclusion: Treatment onset within the first year of life improves urodynamic prognosis in patients with neurogenic bladder and triplicates the probability of urodynamic improvement in two years. The role of neonatologists and pediatricians in early referral is extremely important.http://www.sciencedirect.com/science/article/pii/S2255553617300472Urinary incontinenceNeurogenic bladderUrodynamicsTreatmentKidney failureFollow‐up |
collection |
DOAJ |
language |
Portuguese |
format |
Article |
sources |
DOAJ |
author |
Lucia M. Costa Monteiro Glaura O. Cruz Juliana M. Fontes Eliane T.R.C. Vieira Eloá N. Santos Grace F. Araújo Eloane G. Ramos |
spellingShingle |
Lucia M. Costa Monteiro Glaura O. Cruz Juliana M. Fontes Eliane T.R.C. Vieira Eloá N. Santos Grace F. Araújo Eloane G. Ramos Early treatment improves urodynamic prognosis in neurogenic voiding dysfunction: 20 years of experience Jornal de Pediatria (Versão em Português) Urinary incontinence Neurogenic bladder Urodynamics Treatment Kidney failure Follow‐up |
author_facet |
Lucia M. Costa Monteiro Glaura O. Cruz Juliana M. Fontes Eliane T.R.C. Vieira Eloá N. Santos Grace F. Araújo Eloane G. Ramos |
author_sort |
Lucia M. Costa Monteiro |
title |
Early treatment improves urodynamic prognosis in neurogenic voiding dysfunction: 20 years of experience |
title_short |
Early treatment improves urodynamic prognosis in neurogenic voiding dysfunction: 20 years of experience |
title_full |
Early treatment improves urodynamic prognosis in neurogenic voiding dysfunction: 20 years of experience |
title_fullStr |
Early treatment improves urodynamic prognosis in neurogenic voiding dysfunction: 20 years of experience |
title_full_unstemmed |
Early treatment improves urodynamic prognosis in neurogenic voiding dysfunction: 20 years of experience |
title_sort |
early treatment improves urodynamic prognosis in neurogenic voiding dysfunction: 20 years of experience |
publisher |
Elsevier |
series |
Jornal de Pediatria (Versão em Português) |
issn |
2255-5536 |
publishDate |
2017-07-01 |
description |
Objective: To evaluate the association between early treatment and urodynamic improvement in pediatric and adolescent patients with neurogenic bladder.
Methodology: Retrospective longitudinal and observational study (between 1990 and 2013) including patients with neurogenic bladder and myelomeningocele treated based on urodynamic results. The authors evaluated the urodynamic follow‐up (bladder compliance and maximum bladder capacity and pressure) considering the first urodynamic improvement in two years as the outcome variable and early referral as the exposure variable, using a descriptive and multivariate analysis with logistic regression model.
Results: Among 230 patients included, 52% had an early referral. The majority were diagnosed as overactive bladder with high bladder pressure (≥40 cm H2O) and low bladder compliance (3 mL/cmH2O) and were treated with oxybutynin and intermittent catheterization. Urodynamic follow‐up results showed 68% of improvement at the second urodynamic examination decreasing bladder pressure and increasing bladder capacity and compliance. The percentage of incontinence and urinary tract infections decreased over treatment. Early referral (one‐year old or less) increased by 3.5 the probability of urodynamic improvement in two years (95% CI: 1.81–6.77).
Conclusion: Treatment onset within the first year of life improves urodynamic prognosis in patients with neurogenic bladder and triplicates the probability of urodynamic improvement in two years. The role of neonatologists and pediatricians in early referral is extremely important. |
topic |
Urinary incontinence Neurogenic bladder Urodynamics Treatment Kidney failure Follow‐up |
url |
http://www.sciencedirect.com/science/article/pii/S2255553617300472 |
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