Comparative analysis of the symptomatology of children with lower urinary tract dysfunction in relation to objective data
Autor(a) principal: | |
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Data de Publicação: | 2006 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFBA |
Texto Completo: | http://repositorio.ufba.br/ri/handle/ri/13941 |
Resumo: | OBJECTIVES: To assess the clinical presentation of children with lower urinary tract dysfunction (LUTD) relating to objective examination data. MATERIALS AND METHODS: Forty-four children (36 girls and 8 boys with mean age of 6.8 years) with LUTD were prospectively assessed through a specific questionnaire that analyzed clinical presentation of those patients. These data were then compared to objective data, such as micturition diary and uroflowmetry with electromyography. RESULTS: A urinary tract infection (UTI) antecedent was observed in 31 cases (70.5%), and of those, 24 cases of UTI were accompanied by fever. All children presented micturition urgency. Daily urinary incontinence was observed in 33 cases (75%) and nocturnal enuresis in 23 (52.3%). As for micturition frequency, 15 (34.1%) had normal frequency 19 (43.2%) presented more than 10 daily micturition episodes and 10 (22.7%) thought they urinated less than 5 times a day. In the uroflowmetry and electromyography examination, 14 (31.8%) experienced lack of coordination during micturition. Of 10 children with infrequent micturition, 5 confirmed this in their micturition diaries and 2 listed more than 5 micturition episodes per day in the diary. Of 19 patients presenting polaciuria, only 5 confirmed this in their micturition diaries, while 7 had less than 10 micturition episodes per day. CONCLUSION: Most children with LUTD presented a previous UTI, and daily incontinence was verified in around 75% of the patients. Complaints of polaciuria or infrequent micturition are not noted completely in the micturition diaries and there is no parameter in the clinical history that offers good sensitivity or specificity for the diagnosis of lack of perineal coordination. |
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Barroso Júnior, Ubirajara de OliveiraNova, ThiagoDultra, AndersonLordelo, PatriciaAndrade, JuarezVinhaes, Antonio Francisco JunquilhoBarroso Júnior, Ubirajara de OliveiraNova, ThiagoDultra, AndersonLordelo, PatriciaAndrade, JuarezVinhaes, Antonio Francisco Junquilho2013-11-26T13:37:56Z2013-11-26T13:37:56Z20061677-5538http://repositorio.ufba.br/ri/handle/ri/13941v. 32, n. 1OBJECTIVES: To assess the clinical presentation of children with lower urinary tract dysfunction (LUTD) relating to objective examination data. MATERIALS AND METHODS: Forty-four children (36 girls and 8 boys with mean age of 6.8 years) with LUTD were prospectively assessed through a specific questionnaire that analyzed clinical presentation of those patients. These data were then compared to objective data, such as micturition diary and uroflowmetry with electromyography. RESULTS: A urinary tract infection (UTI) antecedent was observed in 31 cases (70.5%), and of those, 24 cases of UTI were accompanied by fever. All children presented micturition urgency. Daily urinary incontinence was observed in 33 cases (75%) and nocturnal enuresis in 23 (52.3%). As for micturition frequency, 15 (34.1%) had normal frequency 19 (43.2%) presented more than 10 daily micturition episodes and 10 (22.7%) thought they urinated less than 5 times a day. In the uroflowmetry and electromyography examination, 14 (31.8%) experienced lack of coordination during micturition. Of 10 children with infrequent micturition, 5 confirmed this in their micturition diaries and 2 listed more than 5 micturition episodes per day in the diary. Of 19 patients presenting polaciuria, only 5 confirmed this in their micturition diaries, while 7 had less than 10 micturition episodes per day. CONCLUSION: Most children with LUTD presented a previous UTI, and daily incontinence was verified in around 75% of the patients. Complaints of polaciuria or infrequent micturition are not noted completely in the micturition diaries and there is no parameter in the clinical history that offers good sensitivity or specificity for the diagnosis of lack of perineal coordination.Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2013-09-05T12:28:49Z No. of bitstreams: 1 v32n1a13.pdf: 153458 bytes, checksum: 0baeaed000d1b161c654286a9a84d133 (MD5)Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2013-11-26T13:35:26Z No. of bitstreams: 1 v32n1a13.pdf: 153458 bytes, checksum: 0baeaed000d1b161c654286a9a84d133 (MD5)Approved for entry into archive by Rodrigo Meirelles (rodrigomei@ufba.br) on 2013-11-26T13:37:55Z (GMT) No. of bitstreams: 1 v32n1a13.pdf: 153458 bytes, checksum: 0baeaed000d1b161c654286a9a84d133 (MD5)Made available in DSpace on 2013-11-26T13:37:56Z (GMT). No. of bitstreams: 1 v32n1a13.pdf: 153458 bytes, checksum: 0baeaed000d1b161c654286a9a84d133 (MD5) Previous issue date: 2006p. 70-76http://dx.doi.org/10.1590/S1677-55382006000100013reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAChildrenUrination disordersUrinary tract infectionsNeurogenic bladderComparative analysis of the symptomatology of children with lower urinary tract dysfunction in relation to objective dataInternational braz j urolinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessengORIGINALv32n1a13.pdfv32n1a13.pdfapplication/pdf153458https://repositorio.ufba.br/bitstream/ri/13941/1/v32n1a13.pdf0baeaed000d1b161c654286a9a84d133MD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/13941/2/license.txtff6eaa8b858ea317fded99f125f5fcd0MD52TEXTv32n1a13.pdf.txtv32n1a13.pdf.txtExtracted texttext/plain20156https://repositorio.ufba.br/bitstream/ri/13941/3/v32n1a13.pdf.txtcc203de7af750a35ef3030b916ef8812MD53ri/139412022-08-08 13:17:36.909oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-08-08T16:17:36Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false |
dc.title.pt_BR.fl_str_mv |
Comparative analysis of the symptomatology of children with lower urinary tract dysfunction in relation to objective data |
dc.title.alternative.pt_BR.fl_str_mv |
International braz j urol |
title |
Comparative analysis of the symptomatology of children with lower urinary tract dysfunction in relation to objective data |
spellingShingle |
Comparative analysis of the symptomatology of children with lower urinary tract dysfunction in relation to objective data Barroso Júnior, Ubirajara de Oliveira Children Urination disorders Urinary tract infections Neurogenic bladder |
title_short |
Comparative analysis of the symptomatology of children with lower urinary tract dysfunction in relation to objective data |
title_full |
Comparative analysis of the symptomatology of children with lower urinary tract dysfunction in relation to objective data |
title_fullStr |
Comparative analysis of the symptomatology of children with lower urinary tract dysfunction in relation to objective data |
title_full_unstemmed |
Comparative analysis of the symptomatology of children with lower urinary tract dysfunction in relation to objective data |
title_sort |
Comparative analysis of the symptomatology of children with lower urinary tract dysfunction in relation to objective data |
author |
Barroso Júnior, Ubirajara de Oliveira |
author_facet |
Barroso Júnior, Ubirajara de Oliveira Nova, Thiago Dultra, Anderson Lordelo, Patricia Andrade, Juarez Vinhaes, Antonio Francisco Junquilho |
author_role |
author |
author2 |
Nova, Thiago Dultra, Anderson Lordelo, Patricia Andrade, Juarez Vinhaes, Antonio Francisco Junquilho |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Barroso Júnior, Ubirajara de Oliveira Nova, Thiago Dultra, Anderson Lordelo, Patricia Andrade, Juarez Vinhaes, Antonio Francisco Junquilho Barroso Júnior, Ubirajara de Oliveira Nova, Thiago Dultra, Anderson Lordelo, Patricia Andrade, Juarez Vinhaes, Antonio Francisco Junquilho |
dc.subject.por.fl_str_mv |
Children Urination disorders Urinary tract infections Neurogenic bladder |
topic |
Children Urination disorders Urinary tract infections Neurogenic bladder |
description |
OBJECTIVES: To assess the clinical presentation of children with lower urinary tract dysfunction (LUTD) relating to objective examination data. MATERIALS AND METHODS: Forty-four children (36 girls and 8 boys with mean age of 6.8 years) with LUTD were prospectively assessed through a specific questionnaire that analyzed clinical presentation of those patients. These data were then compared to objective data, such as micturition diary and uroflowmetry with electromyography. RESULTS: A urinary tract infection (UTI) antecedent was observed in 31 cases (70.5%), and of those, 24 cases of UTI were accompanied by fever. All children presented micturition urgency. Daily urinary incontinence was observed in 33 cases (75%) and nocturnal enuresis in 23 (52.3%). As for micturition frequency, 15 (34.1%) had normal frequency 19 (43.2%) presented more than 10 daily micturition episodes and 10 (22.7%) thought they urinated less than 5 times a day. In the uroflowmetry and electromyography examination, 14 (31.8%) experienced lack of coordination during micturition. Of 10 children with infrequent micturition, 5 confirmed this in their micturition diaries and 2 listed more than 5 micturition episodes per day in the diary. Of 19 patients presenting polaciuria, only 5 confirmed this in their micturition diaries, while 7 had less than 10 micturition episodes per day. CONCLUSION: Most children with LUTD presented a previous UTI, and daily incontinence was verified in around 75% of the patients. Complaints of polaciuria or infrequent micturition are not noted completely in the micturition diaries and there is no parameter in the clinical history that offers good sensitivity or specificity for the diagnosis of lack of perineal coordination. |
publishDate |
2006 |
dc.date.issued.fl_str_mv |
2006 |
dc.date.accessioned.fl_str_mv |
2013-11-26T13:37:56Z |
dc.date.available.fl_str_mv |
2013-11-26T13:37:56Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://repositorio.ufba.br/ri/handle/ri/13941 |
dc.identifier.issn.none.fl_str_mv |
1677-5538 |
dc.identifier.number.pt_BR.fl_str_mv |
v. 32, n. 1 |
identifier_str_mv |
1677-5538 v. 32, n. 1 |
url |
http://repositorio.ufba.br/ri/handle/ri/13941 |
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eng |
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eng |
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http://dx.doi.org/10.1590/S1677-55382006000100013 |
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