Urodynamic study in children
Refers to a group of tests and procedures that evaluate how urine is stored and then released. Through these tests, bladder function problems are diagnosed in children. Urodynamics also helps determine the best ways to treat urological conditions, whether through medication, surgery or a combination of approaches.
- VideoUrodynamic studies are performed in patients with complex urologic pathology, where anatomic and functional evaluation of the lower urinary tract is necessary. It combines simultaneously and in a single instrumentation, voiding cystourethrography (the urinary tract is contrasted in radiology) and conventional urodynamics. It is one of the most advanced studies to know the phase of filling and emptying of the bladder. In addition, it does not provide very valuable information on the presence or absence of vesicoureteral reflux. These invasive studies are performed by specialists trained and experienced in the management of children with neurogenic bladder and spina bifida.
- Renal scintigraphy or nuclear medicine
- Magnetic resonance imaging of the spine.
- Blood tests to assess kidney function.
Treatments:
The main goals are to preserve renal function, achieve social continence, and promote positive self-esteem as children grow older.
– Clean intermittent catheterization: is a clean, but not sterile, procedure taught to parents and families by our trained nursing staff. By routinely emptying the bladder, it decreases the risk of urinary tract infections, prevents dilation of the urinary tract, protects the bladder and achieves urinary continence.
Anticholinergic drugs: this class of drugs, such as oxybutynin, helps to relax the smooth muscles of the bladder, prevents bladder muscle contractions, generating increased capacity with low pressures.
Surgical treatment options: In case the previous medical treatment is insufficient, our center is trained with professionals who perform procedures such as: Botulinum toxin injection in bladder, bladder enlargement and channels for bladder catheterization.
