ArticleJournal of Indian Association of Pediatric Surgeons
From Symptoms to Solutions: A Clinical Approach to Pediatric Functional Urinary Disorders in Settings without Urodynamic Studies.
Article in Journal of Indian Association of Pediatric Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Commentary on "A Clinical Approach to Pediatric Functional Urinary Disorders in Settings without Urodynamic Studies" - Role of uroflowmetry.Journal of Indian Association of Pediatric SurgeonsArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: This study emphasizes the value of a structured clinical approach in managing pediatric patients with functional lower urinary tract symptoms (LUTS). By utilizing standardized clinical assessment tools, we aimed to categorize the range of LUTS presentations. In many low-resource settings, access to urodynamic studies (UDSs) is often limited, unavailable, or delayed. This study assessed the feasibility and effectiveness of initiating treatment based on clinical evaluation alone prior to the availability of UDSs. Materials and Methods: This prospective observational study was conducted at a tertiary care center from April 2018 to October 2021. Children up to 12 years presenting with LUTS without structural or neurological etiologies were included. Categorization of patients was done using a comprehensive evaluation of detailed history, clinical examination, laboratory tests, radiological investigations, and maintenance of voiding diary. Results: Of the 65 enrolled patients, 46 completed follow-ups and thus met the inclusion criteria (M:F = 1.4:1). Patients <4 years at the age of presentation were categorized as non-lower urinary tract dysfunction (non-LUTD) group ( Conclusions: Functional voiding disorders affect toddlers as well as older children. A systematic clinical approach combining thorough evaluation, imaging, and clinical urodynamics can effectively manage pediatric LUTD in resource-limited settings. UDSs in such situations may be reserved for recalcitrant cases or in patients with risks of upper tract damage.
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