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Bladder and bower dysfunction

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https://www.readbyqxmd.com/read/26111227/transcutaneous-electrical-nerve-stimulation-increases-rectal-activity-in-children
#1
RANDOMIZED CONTROLLED TRIAL
Iben Moeller Joensson, Soren Hagstroem, Charlotte Siggaard, Wendy Bower, Jens Christian Djurhuus, Klaus Krogh
OBJECTIVES: Neurostimulation is increasingly used in treating bladder and bowel dysfunction, but its effect on rectal motility is obscure. The aim of the study was to evaluate the acute effect of transcutaneous electrical nerve stimulation (TENS) on rectal motility in children with overactive bladder (OAB). METHODS: In this double-blind placebo-controlled study in 20 children with OAB (mean age 8.6 ± 1.8 years; 7 girls), 48-hour urodynamic monitoring including rectal manometry was performed...
July 2015: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/25772695/the-standardization-of-terminology-of-lower-urinary-tract-function-in-children-and-adolescents-update-report-from-the-standardization-committee-of-the-international-children-s-continence-society
#2
Paul F Austin, Stuart B Bauer, Wendy Bower, Janet Chase, Israel Franco, Piet Hoebeke, Søren Rittig, Johan Vande Walle, Alexander von Gontard, Anne Wright, Stephen S Yang, Tryggve Nevéus
AIM: The impact of the original International Children's Continence Society (ICCS) terminology document on lower urinary tract (LUT) function resulted in the global establishment of uniformity and clarity in the characterization of LUT function and dysfunction in children across multiple healthcare disciplines. The present document serves as a stand-alone terminology update reflecting refinement and current advancement of knowledge on pediatric LUT function. METHODS: A variety of worldwide experts from multiple disciplines within the ICCS leadership who care for children with LUT dysfunction were assembled as part of the standardization committee...
April 2016: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/24788785/bladder-function-development-and-its-urodynamic-evaluation-in-neonates-and-infants-less-than-2-years-old
#3
REVIEW
Jian Guo Wen, Yu Tao Lu, Lin Gang Cui, Wendy Fiona Bower, Soren Rittig, Jens Christian Djurhuus
AIMS: To understand the function development of bladder and its evaluation in neonates and infants less than 2 years old. METHODS: Literature on neonatal and infant bladder function development and urodynamic evaluation were collected and reviewed. RESULTS: Normal range of bladder volume, pressure during voiding and other parameters in neonates and infants less than 2 years old is far from set up, making interpretation of UDS findings difficult...
August 2015: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/24508614/the-standardization-of-terminology-of-lower-urinary-tract-function-in-children-and-adolescents-update-report-from-the-standardization-committee-of-the-international-children-s-continence-society
#4
REVIEW
Paul F Austin, Stuart B Bauer, Wendy Bower, Janet Chase, Israel Franco, Piet Hoebeke, Søren Rittig, Johan Vande Walle, Alexander von Gontard, Anne Wright, Stephen S Yang, Tryggve Nevéus
PURPOSE: The impact of the original International Children's Continence Society terminology document on lower urinary tract function resulted in the global establishment of uniformity and clarity in the characterization of lower urinary tract function and dysfunction in children across multiple health care disciplines. The present document serves as a stand-alone terminology update reflecting refinement and current advancement of knowledge on pediatric lower urinary tract function. MATERIALS AND METHODS: A variety of worldwide experts from multiple disciplines in the ICCS leadership who care for children with lower urinary tract dysfunction were assembled as part of the standardization committee...
June 2014: Journal of Urology
https://www.readbyqxmd.com/read/23368903/bladder-and-bowel-dysfunction-and-the-resolution-of-urinary-incontinence-with-successful-management-of-bowel-symptoms-in-children
#5
Luise Borch, Søren Hagstroem, Wendy F Bower, Charlotte Siggaard Rittig, Søren Rittig
AIM: To investigate the effect of treating defecation problems on urinary incontinence in children suffering from combined urinary bladder and bowel dysfunction (BBD). METHODS: We established a clinical database from medical records of all children referred to the urinary incontinence and gastroenterology outpatient clinics with BBD. The following variables were extracted: symptoms of constipation, faecal incontinence, urinary incontinence, age at onset of symptoms, treatment, including duration and response...
May 2013: Acta Paediatrica
https://www.readbyqxmd.com/read/22460386/the-management-of-adolescents-with-neurogenic-urinary-tract-and-bowel-dysfunction
#6
L M O de Kort, W F Bower, L V Swithinbank, D Marschall-Kehrel, T P V M de Jong, S B Bauer
Most children with neurogenic bladder dysfunction arrive into adolescence with reasonably managed lower urinary tract function only to experience bladder and kidney function deterioration after puberty. The aim of this article is to identify issues that contribute to adverse changes in bladder and renal function during adolescence and to highlight strategies to preserve urinary tract integrity, social continence, patient autonomy, and independence. Surveillance of bladder function requires patient attendance at review appointments and compliance with treatment plans...
September 2012: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/20127842/assessment-of-non-neurogenic-incontinence-and-lower-urinary-tract-symptoms-in-adolescents-and-young-adults
#7
REVIEW
W F Bower, L Swithinbank, T de Jong, L M O de Kort, D Marschall-Kehrel
AIMS: The aim of this article is to provide insight to clinicians who principally treat adults, about non-neurogenic lower urinary tract symptoms (LUTS) either pre-dating or presenting in adolescence. Assessment fundamentals, diagnostic classification, and rationale behind the process of care are discussed. METHODS: Standardized terms are used to describe the current classification of symptoms of LUT dysfunction in young adults. The etiology and symptomatology of continuous and organic incontinence, along with the intermittent presentations of incontinence, nocturnal enuresis, and bowel dysfunction are presented...
June 2010: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/20022025/diagnostic-evaluation-of-children-with-daytime-incontinence
#8
P Hoebeke, W Bower, A Combs, T De Jong, S Yang
PURPOSE: This article is one of the standardization documents of the International Children's Continence Society, and discusses how anatomical/iatrogenic and functional/urodynamic causes of daytime incontinence in children of all ages are to be diagnosed, how neurogenic bladder dysfunction or urinary tract infection is excluded as a cause of the wetting, and how further diagnostic evaluation of children with disturbances such as overactive bladder, voiding postponement and dysfunctional voiding is performed...
February 2010: Journal of Urology
https://www.readbyqxmd.com/read/19018203/self-reported-effect-of-childhood-incontinence-on-quality-of-life
#9
MULTICENTER STUDY
Wendy F Bower
OBJECTIVE: The aim of this study was to generate an understanding of the child's perception of the impact of bladder and bowel dysfunction on aspects of their life, in order to inform the later development of a continence-specific pediatric quality-of-life tool. DESIGN: A 28-item instrument, measuring 6 domains of quality of life, was developed based on a modified Delphi consultation process and administered to children being treated for incontinence in 10 countries...
November 2008: Journal of Wound, Ostomy, and Continence Nursing
https://www.readbyqxmd.com/read/18947606/pinq-a-valid-reliable-and-reproducible-quality-of-life-measure-in-children-with-bladder-dysfunction
#10
W F Bower, F K Y Sit, N Bluyssen, E M C Wong, C K Yeung
OBJECTIVE: Recently, a cross-cultural continence-specific paediatric quality-of-life measurement tool (PinQ) has been developed and tested psychometrically. The aim of this study was to evaluate the test re-test reliability of this new tool in a cohort of children with bladder dysfunction in order to evaluate the reproducibility of scores. A secondary aim was to compare the parent-completed proxy version with child-reported scores. METHODS: PinQ was translated and back-translated from English into Chinese and Dutch and scrutinized for cultural and linguistic appropriateness or ambiguity...
June 2006: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/16945646/nocturnal-enuresis-in-adolescents-and-adults-is-associated-with-childhood-elimination-symptoms
#11
W F Bower, F K Y Sit, C K Yeung
PURPOSE: Since nocturnal enuresis in adults and adolescents is rarely monosymptomatic, we identified the prevalence of childhood bladder and bowel dysfunction, and compared findings to those in a normative cohort. MATERIALS AND METHODS: Childhood and current bladder and bowel dysfunction were investigated in 56 consecutive adolescents and adults attending a public nocturnal enuresis service and in 293 normative adults using a self-administered questionnaire. Analysis involved descriptive statistics, the chi-square and Kruskal-Wallis tests, and regression analysis with p <0...
October 2006: Journal of Urology
https://www.readbyqxmd.com/read/16753438/normative-pelvic-floor-parameters-in-children-assessed-by-transabdominal-ultrasound
#12
W F Bower, J W Chase, B C Stillman
PURPOSE: Successful management of dysfunctional voiding in children hinges on retraining inappropriate pelvic floor muscle recruitment. Recently dynamic pelvic floor muscle activity was visualized in adults using transabdominal ultrasound. We evaluated transabdominal ultrasound for visualizing and measuring pelvic floor muscle activity in normative children. MATERIALS AND METHODS: A total of 21 volunteers, including 10 boys and 11 girls 7 to 16 years old (mean age 11...
July 2006: Journal of Urology
https://www.readbyqxmd.com/read/16496391/development-of-a-validated-quality-of-life-tool-specific-to-children-with-bladder-dysfunction
#13
W F Bower, E M C Wong, C K Yeung
AIMS: To date there have not been any generic or continence-specific measurement tools that allow clinicians to investigate quality of life in children with bladder dysfunction. The aim of this research was to create a cross-cultural tool to assess and measure the wider psychosocial impact of current and new interventions for bladder dysfunction in children. MATERIALS AND METHODS: The study was conducted in three parts: expert consultation with continence clinicians; design and administration of a child-completed international questionnaire; item analysis, validity and reliability testing, and design of a new tool...
2006: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/16420968/half-day-urotherapy-improves-voiding-parameters-in-children-with-dysfunctional-emptying
#14
Wendy F Bower, S Y Yew, K Y F Sit, C K Yeung
OBJECTIVES: Children with voiding dysfunction benefit from intensive bladder emptying re-education; however, hospitalization for such training is not always financially viable or realistic. The aim of this study was to evaluate whether half-day voiding re-education in pairs improved immediate and mid-term voiding parameters. METHODS: 48 children (mean age, 8.9 years; 54% male) identified in the urotherapy clinic as having either (1) abnormal uroflow curves, (2) a postvoid residual urine (PVRU)>10% of voided volume, or (3) proven dysfunctional voiding, were recruited and age- and gender-matched...
March 2006: European Urology
https://www.readbyqxmd.com/read/16148668/dysfunctional-elimination-symptoms-in-childhood-and-adulthood
#15
W F Bower, S K Yip, C K Yeung
PURPOSE: The dysfunctional elimination syndrome (DES) is rare in adulthood. We evaluate the natural history of DES to identify aspects of the disorder that may be carried into adulthood. MATERIALS AND METHODS: A 2-part questionnaire was devised and self-administered to 191 consecutive women attending a urogynecological clinic (UG) and to 251 normal women. The first section asked for recall of childhood symptoms known to be associated with DES, while the lat-ter section explored current bladder and bowel problems...
October 2005: Journal of Urology
https://www.readbyqxmd.com/read/15118440/functional-constipation-in-children
#16
J W Chase, Y Homsy, C Siggaard, F Sit, W F Bower
PURPOSE: Constipation in children increases the likelihood of urinary incontinence, bladder overactivity, dyscoordinated voiding, a large capacity, poorly emptying bladder, recurrent urinary tract infection and deterioration of vesicoureteral reflux. We present a consensus related to the assessment, diagnosis and treatment of children with bowel dysfunction coexisting with a known disorder of urinary continence or voiding coordination. MATERIALS AND METHODS: A panel of international multidisciplinary clinicians working on pediatric continence care was invited to participate in the First International Children's Continence Society Bowel Dysfunction Workshop...
June 2004: Journal of Urology
https://www.readbyqxmd.com/read/14694460/a-review-of-non-invasive-electro-neuromodulation-as-an-intervention-for-non-neurogenic-bladder-dysfunction-in-children
#17
REVIEW
W F Bower, C K Yeung
AIMS: The use of electrotherapeutics to improve filling and emptying dysfunction of the adult bladder has been well established, however the practice in children is less well known. The purpose of this review is to summarize the rationale behind the use of electro neuromodulation in children, examine the reported efficacy of the intervention for different presentations of dysfunction, and establish the current limitations to knowledge and practice. MATERIALS AND METHODS: A modified systematic review was carried out on all Medline studies identified as considering the use of electrotherapy or neuromodulation in children with bladder problems...
2004: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/11696802/a-pilot-study-of-the-home-application-of-transcutaneous-neuromodulation-in-children-with-urgency-or-urge-incontinence
#18
W F Bower, K H Moore, R D Adams
PURPOSE: We evaluated the efficacy of transcutaneous neuromodulation to treat urinary urgency and urge incontinence in children with nonneurological bladder dysfunction. MATERIALS AND METHODS: Surface neuromodulation was delivered via skin electrodes away from the genital region for a short duration daily on a home treatment basis. Clinical outcome was measured by 3 tools previously tested for reliability including the frequency volume chart, urgency visual analog scale and accident diary ("Dry Pie")...
December 2001: Journal of Urology
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