Urbanowicz W
Klinika Urologii Dzieciecej, Polsko-Amerykańskiego, Wydziału Lekarskiego Uniwersytetu Jagiellońskiego w Krakowie.
Przegl Lek. 1998;55(4):211-6.
At least 25% of the clinical problems seen in pediatric urology are the result of neurologic lesions that affect lower urinary tract function. The advent of clean intermittent catheterization and refinements in techniques of urodynamic studies in children dramatically changed the way this pediatric population was traditionally managed. Along with this change came a greater understanding of the pathophysiology of the many diseases that primarily affect children. The applicability of urodynamic testing has expanded to the point where most pediatric urologic centers now believe that functional assessment of the lower urinary tract is an essential element in the evaluation process and is as important as x-ray visualization in characterising and managing these abnormal conditions. The natural outcome of early functional investigation has been the advocacy of proactive or early aggressive management of children who are now considered at risk of urinary tract deterioration based on specific hostile urodynamic parameters. This paper first defines the testing process as it applies to children and second, conservative and surgery methods to prevent upper urinary tract deterioration and to correct continence.
小儿泌尿外科中至少25%的临床问题是由影响下尿路功能的神经病变引起的。清洁间歇性导尿的出现以及儿童尿动力学研究技术的改进极大地改变了传统上对这一儿科人群的管理方式。随着这种变化，人们对主要影响儿童的多种疾病的病理生理学有了更深入的了解。尿动力学检测的应用范围已经扩大到大多数小儿泌尿外科中心现在认为，下尿路功能评估是评估过程中的一个基本要素，在表征和管理这些异常情况方面与X线显影同样重要。早期功能检查的自然结果是主张对那些基于特定不良尿动力学参数而被认为有尿路恶化风险的儿童进行积极或早期积极管理。本文首先定义了适用于儿童的检测过程，其次介绍了预防上尿路恶化和纠正尿失禁的保守和手术方法。
