Dunn M, Smith P J, Abrams P H
Br J Urol. 1978 Dec;50(7):586-90. doi: 10.1111/j.1464-410x.1978.tb06218.x.
Cystourethroscopy is an uncomfortable and often painful investigation for children. It is distressing to the parents, and even when it is done on a day case basis it can cause considerable disruption to the family. It should therefore only be considered when it is felt that the examination will contribute to the management of the urinary problem in the child, and then only after routine assessment including physical examination, urine culture, renal function studies, excretion urography and, where indicated, micturating cystogram. In a study of 242 children who had cystourethroscopy, it was found to be of only limited value in children with enuresis, incontinence, haematuria, recurrent urinary infection and painful micturition. In some children it provided an opportunity for either indirect (from instrumentation) or formal urethral dilatation and this seemed to be associated with post-operative symptom relief in some children. Endoscopy appeared to be of most value in the management of vesicoureteric reflux, upper tract duplication and specific urethral abnormalities. In these situations the examination provided essential information which was helpful with further management of the children.
膀胱尿道镜检查对于儿童来说是一项不舒服且常常很痛苦的检查。这会让家长感到苦恼，即便该检查是在日间手术的情况下进行，也会给家庭带来相当大的困扰。因此，只有在认为该检查有助于儿童泌尿系统问题的处理时才应考虑进行，而且必须在包括体格检查、尿培养、肾功能研究、排泄性尿路造影以及必要时的排尿性膀胱尿道造影等常规评估之后。在一项对242名接受膀胱尿道镜检查的儿童的研究中发现，该检查对于患有遗尿症、尿失禁、血尿、复发性尿路感染和排尿疼痛的儿童价值有限。在一些儿童中，它提供了间接（通过器械操作）或正式尿道扩张的机会，而且这似乎与部分儿童术后症状缓解有关。内镜检查在膀胱输尿管反流、上尿路重复畸形和特定尿道异常的处理中似乎最有价值。在这些情况下，该检查提供了有助于儿童进一步治疗的重要信息。
