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• W2003997172 abstract "No AccessJournal of UrologyPediatric urology1 Oct 2006Reference Ranges for Cystographic Bladder Capacity in Children—With Special Attention to Vesicoureteral Reflux An M. Bael, Hildegard Lax, Herbert Hirche, Kelm Hjälmš, Tytti Tamminen-Möbius, Koen M. Van Hoeck, Jan D. van Gool, and International Reflux Study in Children An M. BaelAn M. Bael Department of Pediatric Nephrology, University Hospital Antwerp, Antwerp, Belgium More articles by this author , Hildegard LaxHildegard Lax Institute for Medical Informatics, Biometry and Epidemiology, Essen University, Essen, Germany More articles by this author , Herbert HircheHerbert Hirche Institute for Medical Informatics, Biometry and Epidemiology, Essen University, Essen, Germany More articles by this author , Kelm HjälmšKelm Hjälmš Department of Pediatric Urology, Queen Silvia Children’s Hospital, Gothenburg, Sweden More articles by this author , Tytti Tamminen-MöbiusTytti Tamminen-Möbius Department of Internal Medicine, Rehabilitation Center, Bad Eilsen, Germany More articles by this author , Koen M. Van HoeckKoen M. Van Hoeck Department of Pediatric Nephrology, University Hospital Antwerp, Antwerp, Belgium More articles by this author , Jan D. van GoolJan D. van Gool Department of Pediatric Nephrology, University Hospital Antwerp, Antwerp, Belgium More articles by this author , and International Reflux Study in Children More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2006.06.037AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Linear correlations for cystometric/cystographic bladder capacity with age universally serve as clinical yardsticks in pediatric urology and nephrology. However, these correlations do not account for growth or the range in values, as the relation of cystometric/cystographic bladder capacity with age is nonlinear. Also, vesicoureteral reflux might influence the size of cystometric/cystographic bladder capacity, since small and large bladder capacities have been reported in conjunction with reflux. We decided to use the data sets of the International Reflux Study in Children to construct full reference ranges for cystometric/cystographic bladder capacity and age, for comparison with existing reference ranges in normal children, and to study the relation between bladder capacity and refluxing volume. Materials and Methods: In the International Reflux Study in Children 386 patients with grade III or IV vesicoureteral reflux were followed with isotope cystography for 10 years. To follow the grade of reflux, x-ray cystography was also used at 60-month intervals. The 386 children, who were 1 month to 12 years old, were randomized into 2 groups—those undergoing surgery and those receiving medical treatment. For both groups data were available on cystometric/cystographic bladder capacity, refluxing volume, reflux grade and reflux outcome. Results: The distribution of cystometric/cystographic bladder capacity vs age is logarithmic, with a wide range between the 5th and 95th percentiles, and a clear nonlinear relation between bladder capacity and age (p <0.001). Gender has no influence on cystometric/cystographic bladder capacity. No difference in bladder capacity exists between persistence or resolution of vesicoureteral reflux (p <0.78), between grade III and grade IV reflux (p <0.94), or between unilateral and bilateral reflux (p <0.74). Thus, refluxing volume correlated only with reflux grade, not with cystometric/cystographic bladder capacity or age. Conclusions: With or without vesicoureteral reflux values for cystometric/cystographic bladder capacity range widely in children, and correlate logarithmically with age. For clinical decisions the full reference range for age, flanked by the 5th and 95th percentiles, should be used to assess individual values for cystometric/cystographic bladder capacity, rather than linear functions. References 1 : Tolterodine treatment for children with symptoms of urinary urge incontinence suggestive of detrusor overactivity: results from 2 randomized, placebo controlled trials. J Urol2005; 173: 1334. Link, Google Scholar 2 : Functional bladder capacity as predictor of response to desmopressin and retention control training in monosymptomatic nocturnal enuresis. Eur Urol2000; 37: 718. Google Scholar 3 : Intra-individual variability in nighttime urine production and functional bladder capacity estimated by home recordings in patients with nocturnal enuresis. J Urol2001; 166: 2452. Link, Google Scholar 4 : The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. 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Google Scholar © 2006 by American Urological AssociationFiguresReferencesRelatedDetailsCited byRittig S, Kamperis K, Siggaard C, Hagstroem S and Djurhuus J (2010) Age Related Nocturnal Urine Volume and Maximum Voided Volume in Healthy Children: Reappraisal of International Children's Continence Society DefinitionsJournal of Urology, VOL. 183, NO. 4, (1561-1567), Online publication date: 1-Apr-2010.Bael A, Lax H, de Jong T, Hoebeke P, Nijman R, Sixt R, Verhulst J, Hirche H and van Gool J (2008) The Relevance of Urodynamic Studies for Urge Syndrome and Dysfunctional Voiding: A Multicenter Controlled Trial in ChildrenJournal of Urology, VOL. 180, NO. 4, (1486-1495), Online publication date: 1-Oct-2008.Van Hoeck K, Bael A, Van Dessel E, Van Renthergem D, Bernaerts K, Vandermaelen V, Lax H, Hirche H and van Gool J (2007) Do Holding Exercises or Antimuscarinics Increase Maximum Voided Volume in Monosymptomatic Nocturnal Enuresis? A Randomized Controlled Trial in ChildrenJournal of Urology, VOL. 178, NO. 5, (2132-2136), Online publication date: 1-Nov-2007. Volume 176Issue 4October 2006Page: 1596-1600 Advertisement Copyright & Permissions© 2006 by American Urological AssociationKeywordsbladderpediatricsurodynamicsvesico-ureteral refluxMetricsAuthor Information An M. Bael Department of Pediatric Nephrology, University Hospital Antwerp, Antwerp, Belgium More articles by this author Hildegard Lax Institute for Medical Informatics, Biometry and Epidemiology, Essen University, Essen, Germany More articles by this author Herbert Hirche Institute for Medical Informatics, Biometry and Epidemiology, Essen University, Essen, Germany More articles by this author Kelm Hjälmš Department of Pediatric Urology, Queen Silvia Children’s Hospital, Gothenburg, Sweden More articles by this author Tytti Tamminen-Möbius Department of Internal Medicine, Rehabilitation Center, Bad Eilsen, Germany More articles by this author Koen M. Van Hoeck Department of Pediatric Nephrology, University Hospital Antwerp, Antwerp, Belgium More articles by this author Jan D. van Gool Department of Pediatric Nephrology, University Hospital Antwerp, Antwerp, Belgium More articles by this author International Reflux Study in Children More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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