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Paediatric incontinence

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https://www.readbyqxmd.com/read/27748667/applicability-of-botulinum-toxin-type-a-in-paediatric-neurogenic-bladder-management
#1
Jeroen R Scheepe, Bertil F M Blok, Lisette A 't Hoen
PURPOSE OF REVIEW: The purpose of this article is to provide an overview about the applicability of botulinum toxin type A (BTX-A) in paediatric neurogenic bladder based on the recently published literature combined with hypothetical notes and future perspectives. RECENT FINDINGS: The indications, clinical outcomes, urodynamic outcome parameters and cost-effectiveness are presented from recent publications. Also, alternative routes of application of BTX-A in the bladder are discussed as well as the influence of BTX-A on conservative and invasive treatment...
January 2017: Current Opinion in Urology
https://www.readbyqxmd.com/read/27687820/solifenacin-in-children-and-adolescents-with-overactive-bladder-results-of-a-phase-3-randomised-clinical-trial
#2
Donald Newgreen, Brigitte Bosman, Adriana Hollestein-Havelaar, Ellen Dahler, Robin Besuyen, Will Sawyer, Stéphane Bolduc, Søren Rittig
BACKGROUND: Solifenacin, an effective, well-tolerated treatment for adult overactive bladder (OAB) symptoms, has not been evaluated in placebo-controlled paediatric clinical trials. OBJECTIVES: To evaluate the efficacy and safety of once-daily oral solifenacin suspension in OAB patients aged 5-<12 yr (children) and 12-<18 yr (adolescents). DESIGN, SETTING, AND PARTICIPANTS: The study involved a 4-wk urotherapy run-in followed by 1:1 randomisation to 12-wk double-blind solifenacin or placebo treatment alongside urotherapy...
September 28, 2016: European Urology
https://www.readbyqxmd.com/read/27606014/immediate-and-long-term-outcome-analysis-of-lipomeningomyelocele-repair-in-asymptomatic-infants-in-a-tertiary-care-center
#3
Prashant Sadashiv Patil, Abhaya Gupta, Paras L Kothari, Geeta Kekre, Rahul Gupta, Vishesh Dikshit, Kedar Mudkhedkar, Krishna Kesan
OBJECTIVE: To analyze immediate and long-term results of lipomeningomyelocele (LMM) repair in asymptomatic patients. MATERIALS AND METHODS: Seventeen patients of LMM presented to Department of Paediatric Surgery over a period from 2011 to 2015 were evaluated preoperatively by magnetic resonance imaging of whole spine, and pre- and post-operative Ultrasound of kidney, ureter, bladder, and neurosonogram. Surgical procedure involved total excision of lipoma in 15 patients and near total excision in 2 patients...
April 2016: Journal of Pediatric Neurosciences
https://www.readbyqxmd.com/read/27251658/how-to-manage-a-late-diagnosed-hirschsprung-s-disease
#4
Mohamed Ouladsaiad
BACKGROUND: How to manage a late diagnosed Hirschsprung's disease (HD) and how to avoid calibre discrepancy? SUBJECTS AND METHODS: A retrospective study of all patients diagnosed with HD over 2 years in our hospital from January 2009 to December 2012. Data were analysed for clinical presentations, investigations, surgical procedures and post-operative outcome. RESULTS: Fifteen patients, operated by one single surgeon, were included in this study...
April 2016: African Journal of Paediatric Surgery: AJPS
https://www.readbyqxmd.com/read/27232149/20-years-experience-with-appendicovesicostomy-in-paediatric-patients-complications-and-their-re-interventions
#5
Sarah H M Reuvers, Joop van den Hoek, Bertil F M Blok, Telma C de Oliveira Barbosa, Katja P Wolffenbuttel, Jeroen R Scheepe
AIMS: To evaluate the long-term outcome of appendicovesicostomies and to present the frequency and timing of complications needing re-intervention. METHODS: In this retrospective study we included patients in whom an appendicovesicostomy was created at our institution between 1993 and 2011. Patients with a follow-up less than 1 year were excluded. Patient characteristics and conduit-related complications requiring re-intervention were collected. RESULTS: One hundred and twenty-eight patients were included with mean age at initial surgery of 10...
May 27, 2016: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/27127995/associations-between-lower-urinary-tract-dysfunction-and-health-related-quality-of-life-in-children-with-chronic-kidney-disease
#6
Helena Öborn, Lena Wettergren, Maria Herthelius, Ulla Forinder
AIM: Little is known about the health-related quality of life (HRQoL) of children with lower urinary tract dysfunction (LUTD) and chronic kidney disease (CKD). We investigated LUTD and other possible predictors of impaired HRQoL in children with conservatively treated moderate-to-severe CKD or with a kidney transplant. METHODS: All 64 children with CKD or a kidney transplant treated at Karolinska University Hospital, Stockholm, Sweden, between June 2011 and December 2012 were approached and 59 children aged 8-18 were enrolled in the study...
August 2016: Acta Paediatrica
https://www.readbyqxmd.com/read/26913469/conventional-treatment-of-functional-constipation-has-a-positive-impact-on-the-behavioural-difficulties-in-children-with-and-without-faecal-incontinence
#7
Line Modin, Ida Skytte Jakobsen, Marianne Skytte Jakobsen
AIM: Constipation studies have only evaluated behavioural difficulties in children with faecal incontinence. This study evaluated changes in behavioural difficulties in childhood with functional constipation (FC) with and without faecal incontinence, based on treatment outcomes. METHODS: Children aged five to 16 years who fulfilled the Rome III criteria for FC received conventional treatment. The Strength and Difficulties Questionnaire was completed at inclusion and at the 12-month follow-up...
June 2016: Acta Paediatrica
https://www.readbyqxmd.com/read/26634591/primary-nocturnal-enuresis-in-children-with-allergic-rhinitis-and-severe-adenotonsillar-hypertrophy-a-single-center-pilot-study
#8
R Chimenz, S Manti, C Fede, G Stroscio, C Visalli, A Nicotera, G Di Rosa, A C Romeo, V Salpietro, C Cuppari
Nocturnal enuresis is defined as intermittent urinary incontinence during sleep that occurs at least twice a week for three consecutive months. There is no unifying etiology for nocturnal enuresis in the pediatric population and the disorder is likely to be multifactorial. We aimed to investigate the relationship between primary nocturnal enuresis, allergic rhinitis, and related complications in a paediatric case series from a single Center. We retrospectively reviewed and prospectively followed-up at our Institution (i) 32 children (14 females, 18 males; mean age 6...
April 2015: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/26611873/mobile-phone-applications-in-management-of-enuresis-the-good-the-bad-and-the-unreliable
#9
Michael Myint, Ahmed Adam, Sampath Herath, Grahame Smith
INTRODUCTION: The proliferation of medical-type applications or 'apps' on smartphones is a typical example of the impact technology has had on medical practice. Maintaining a bladder diary is a recommended part of evaluating the effect of interventions for patients suffering from enuresis. Traditional pen-and-paper bladder diaries have poor completion rates, inconsistent patterns in data entry, and are deficient in validation. Electronic bladder diaries have been proposed to overcome these obstacles...
April 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/26304756/peristeen-%C3%A2-transanal-irrigation-in-paediatric-patients-with-anorectal-malformations-and-spinal-cord-lesions-a-multicentre-italian-study
#10
MULTICENTER STUDY
P Midrio, G Mosiello, E Ausili, P Gamba, A Marte, L Lombardi, B D Iacobelli, E Caponcelli, S Marrello, M Meroni, G Brisighelli, E Leva, C Rendeli
AIM: In paediatric and adult patients with neurogenic bowel, transanal irrigation (TAI) of the colon has gained popularity due to the introduction of a specifically designed device. The aim of this pilot study was to present the results of TAI using the Peristeen(®) TAI system in a group of paediatric patients with anorectal malformation (ARM) and congenital or acquired spinal cord lesions (SCLs). METHOD: Eight Italian paediatric surgery and spina bifida centres participated in the study...
January 2016: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/26284199/pelvic-floor-muscle-exercise-for-paediatric-functional-constipation
#11
Fatemeh Farahmand, Aidin Abedi, Mohammad Reza Esmaeili-Dooki, Rozita Jalilian, Sanaz Mehrabani Tabari
INTRODUCTION: Functional constipation (FC) is one of the most common gastrointestinal problems among children. This study was designed to investigate the effectiveness of pelvic floor muscle exercise on treatment of FC. MATERIALS AND METHODS: In this study which was conducted in Children's Medical Center, children with a diagnosis of FC (aged 4-18 y) who did not respond to medical treatment, performed sessions of pelvic floor muscle exercise at home twice a day for 8 wk...
June 2015: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/26096439/training-potential-in-minimally-invasive-surgery-in-a-tertiary-care-paediatric-urology-centre
#12
R P J Schroeder, R J Chrzan, A J Klijn, C F Kuijper, P Dik, T P V M de Jong
BACKGROUND: Minimally invasive surgery (MIS) is being utilized more frequently as a surgical technique in general surgery and in paediatric urology. It is associated with a steep learning curve. Currently, the centre does not offer a MIS training programme. It is hypothesized that the number of MIS procedures performed in the low-volume specialty of paediatric urology will offer insufficient training potential for surgeons. OBJECTIVE: To assess the MIS training potential of a highly specialized, tertiary care, paediatric urology training centre that has been accredited by the Joint Committee of Paediatric Urology (JCPU)...
October 2015: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/26048251/cone-like-resection-fistulectomy-and-mucosal-rectal-sleeve-partial-endorectal-pull-through-in-paediatric-crohn-s-disease-with-perianal-complex-fistula
#13
Girolamo Mattioli, Luca Pio, Serena Arrigo, Alessio Pini Prato, Giovanni Montobbio, Nicola Massimo Disma, Arrigo Barabino
BACKGROUND: Perianal abscesses and fistulae have been reported in approximately 15% of patients with paediatric Crohn's disease and they are associated with poor quality of life. Several surgical techniques were proposed for the treatment of perianal Crohn's disease, characterized by an elevated incidence of failure, incontinence, and relapse. Aim of our study was to present the technical details and results of our surgical technique in case of recurrent, persistent, complex perianal ano-rectal destroying Crohn's disease not responding to medical treatment...
August 2015: Digestive and Liver Disease
https://www.readbyqxmd.com/read/26019977/pelvic-fracture-urethral-injury-in-children
#14
REVIEW
Judith C Hagedorn, Bryan B Voelzke
OBJECTIVE: To review paediatric posterior urethral injuries and the current potential management options; because urethral injury due to pelvic fracture in children is rare and has a low incidence, the management of this type of trauma and its complications remains controversial. METHODS: We reviewed previous reports identified by searching the PubMed Medline electronic database for clinically relevant articles published in the past 25 years. The search was limited to the keywords 'pediatric', 'pelvic fracture', 'urethral injury', 'stricture', 'trauma' and 'reconstruction'...
March 2015: Arab Journal of Urology
https://www.readbyqxmd.com/read/25805527/laparoscopic-assistance-for-primary-transanal-pull-through-in-hirschsprung-s-disease-a-systematic-review-and-meta-analysis
#15
REVIEW
David Thomson, Benjamin Allin, Anna-May Long, Tim Bradnock, Gregor Walker, Marian Knight
OBJECTIVE: To compare outcomes following totally transanal endorectal pull-through (TTERPT) versus pull-through with any form of laparoscopic assistance (LAPT) for infants with uncomplicated Hirschsprung's disease. DESIGN: Systematic review and meta-analysis. SETTING: Five hospitals with a paediatric surgical service. PARTICIPANTS: 405 infants with uncomplicated Hirschsprung's disease. INTERVENTIONS: TTERPT versus LAPT...
March 24, 2015: BMJ Open
https://www.readbyqxmd.com/read/25622801/quality-of-life-prediction-in-children-with-joint-hypermobility-syndrome
#16
Verity Pacey, Louise Tofts, Roger D Adams, Craig F Munns, Leslie L Nicholson
AIMS: To assess the child- and parent-reported health-related quality of life (HRQOL) of children with joint hypermobility syndrome (JHS), to compare these with other chronic paediatric conditions and to determine whether symptoms experienced by children with JHS can predict their HRQOL. METHODS: Eighty-nine children with JHS and one of their parents completed the Pediatric Quality of Life Inventory 4.0 Generic Core Scale, the Multidimensional Fatigue Scale and the Pediatric Pain Questionnaire...
July 2015: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/25552824/anorectal-malformations
#17
REVIEW
Ajay Narayan Gangopadhyay, Vaibhav Pandey
Anorectal malformations (ARMs) are among the more frequent congenital anomalies encountered in paediatric surgery, with an estimated incidence ranging between 1 in 2000 and 1 in 5000 live births. Antenatal diagnosis of an isolated ARM is rare. Most cases are diagnosed in the early neonatal period. There is a wide spectrum of presentation ranging from low anomalies with perineal fistula having simple management to high anomalies with complex management. Advances in the imaging techniques with improvement in knowledge of the embryology, anatomy and physiology of ARM cases have refined diagnosis and initial management...
January 2015: Journal of Indian Association of Pediatric Surgeons
https://www.readbyqxmd.com/read/25332662/urinary-tract-infections-in-infants-and-children-diagnosis-and-management
#18
Joan L Robinson, Jane C Finlay, Mia Eileen Lang, Robert Bortolussi
Recent studies have resulted in major changes in the management of urinary tract infections (UTIs) in children. The present statement focuses on the diagnosis and management of infants and children >2 months of age with an acute UTI and no known underlying urinary tract pathology or risk factors for a neurogenic bladder. UTI should be ruled out in preverbal children with unexplained fever and in older children with symptoms suggestive of UTI (dysuria, urinary frequency, hematuria, abdominal pain, back pain or new daytime incontinence)...
June 2014: Paediatrics & Child Health
https://www.readbyqxmd.com/read/25217327/the-long-term-management-and-outcomes-of-cloacal-anomalies
#19
REVIEW
M Ashani Fernando, Sarah M Creighton, Dan Wood
Cloacal anomalies occur when failure of the urogenital septum to separate the cloacal membrane results in the urethra, vagina, rectum and anus opening into a single common channel. The reported incidence is 1:50,000 live births. Short-term paediatric outcomes of surgery are well reported and survival into adulthood is now usual, but long-term outcome data are less comprehensive. Chronic renal failure is reported to occur in 50 % of patients with cloacal anomalies, and 26-72 % (dependant on the length of the common channel) of patients experience urinary incontinence in adult life...
May 2015: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
https://www.readbyqxmd.com/read/25148747/follow-up-of-children-undergoing-antegrade-continent-enema-experience-of-over-two-hundred-cases
#20
Jonathan Randall, Peter Coyne, Bruce Jaffray
PURPOSE: Antegrade continent enema (ACE) procedures have been used as a treatment of constipation and soiling. Little is known about the long-term results of these procedures, particularly as patients progress into adulthood. This study presents the long-term outcomes of ACE in children, with follow up into adulthood, over a fifteen-year period. METHODS: A prospective database of all consecutive procedures performed from 1998 to 2013 by a single surgeon in a regional centre was analysed...
September 2014: Journal of Pediatric Surgery
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