Princess Margaret Hospital for Children, Roberts Road, Subiaco, Western Australia 6008, Australia.
Princess Margaret Hospital for Children, Roberts Road, Subiaco, Western Australia 6008, Australia; University of Western Australia, Nedlands, Western Australia 6009, Australia.
J Pediatr Urol. 2014 Dec;10(6):1139-44. doi: 10.1016/j.jpurol.2014.05.004. Epub 2014 Jun 6.
To report the results of a study conducted on voiding function in children who have undergone intravesical trans-trigonal Cohen ureteric reimplantation surgery before the age of one year.
Twenty-eight children (18 males, 10 females) had surgery at a mean age of 4.9 months (range 8-352 days).
Bladder function was assessed at a mean age of 7.3 years using questionnaires, the dysfunctional voiding scoring system, PinQ quality of life tool, uroflowmetry and post-void residuals.
Of the total children, 72% had normal lower urinary tract (LUT) function. Eight children (28%) had evidence of LUT dysfunction, two had urge incontinence, two had giggle incontinence, two had voiding postponement, one had dysfunctional elimination syndrome and one had evidence of dysfunctional voiding. Five of the eight children were managed with continence physiotherapy (urotherapy) and one required ongoing anticholinergic therapy.
When compared to the published rates of LUT dysfunction in the general paediatric community, no evidence was found to suggest an increased incidence of bladder dysfunction in children undergoing intravesical Cohen ureteric reimplantation surgery under one year of age.
报告一项对一岁以下行膀胱内 Co hen 输尿管再植术患儿排尿功能的研究结果。
28 例患儿（男 18 例，女 10 例），平均手术年龄 4.9 个月（8~352 天）。
采用问卷调查、排尿功能障碍评分系统、PinQ 生活质量工具、尿流率和残余尿量评估，于平均 7.3 岁时评估膀胱功能。
28 例患儿中，72%的患儿下尿路（LUT）功能正常。8 例（28%）患儿存在 LUT 功能障碍，2 例存在急迫性尿失禁，2 例存在笑尿失禁，2 例存在排尿延迟，1 例存在排尿功能紊乱综合征，1 例存在排尿功能障碍。8 例患儿中，5 例行控尿物理治疗（尿疗），1 例需要持续使用抗胆碱能药物治疗。
与普通儿科人群的 LUT 功能障碍发生率相比，在一岁以下行膀胱内 Co hen 输尿管再植术的患儿中，并未发现膀胱功能障碍的发生率增加。
