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Original Research

Efficacy of Optical Internal Urethrotomy with Intermittent Self Dilatation for Urethral Stricture: A Randomized Prospective Study


1 Saglik Bilimleri University, Samsun Training and Research Hospital,  Department of Urology, Samsun, Turkey

2 Sağlık Bilimleri Üniversitesi, Samsun Eğitim ve Araştırma Hastanesi, Üroloji Kliniği, Samsun, Türkiye


DOI :
New J Urol. 2018; 13 (2): 06-13

Abstract

Objectıves: Non-neurogenic lower urinary tract dysfunction (NNLUTD) is rather com-mon in pediatric age group. In this study, we aimed to present the results of patients whom we treated by urotherapy.

Materıal and Methods: Twenty-one pati-ents applied to our clinic between January-Sep-tember 2013 with NNLUTD were enrolled into the study. Detailed history, Bladder Dysfuncti-on Symptom Questionnaire (BDSQ), Physical examination, urinalysis and urine culture, mic-turition diary, plasma urea and creatinine, lum-bosacral x-ray, uroflow-EMG and urinary ult-rasonography was used to evaluate the patients. All patients were managed by urotherapy and were called to re-evaluate after three months. 

Results: Mean patient age was 10.47±3.08 (7-17). Six of those patients were male (28.6%) and fifteen was female (71.4%). Mean BDSQ were 19.19±4.28 and 5.57±2.94 before and af-ter treatment, respectively (p<0.05).  With the re-evaluation of uroflow-EMG patterns, 16/21 (76.2%) patients were improved.

Conclusion: In conclusion, urotherapy is an efficient treatment method in patients with NNLUTD. With this treatment, both subjec-tive (BDSQ) and objective (uroflow-EMG) symptoms can be treated.

Key Words: Pediatric patient, Bladder Dysfunction, Urotherapy


Abstract

Objectıves: Non-neurogenic lower urinary tract dysfunction (NNLUTD) is rather com-mon in pediatric age group. In this study, we aimed to present the results of patients whom we treated by urotherapy.

Materıal and Methods: Twenty-one pati-ents applied to our clinic between January-Sep-tember 2013 with NNLUTD were enrolled into the study. Detailed history, Bladder Dysfuncti-on Symptom Questionnaire (BDSQ), Physical examination, urinalysis and urine culture, mic-turition diary, plasma urea and creatinine, lum-bosacral x-ray, uroflow-EMG and urinary ult-rasonography was used to evaluate the patients. All patients were managed by urotherapy and were called to re-evaluate after three months. 

Results: Mean patient age was 10.47±3.08 (7-17). Six of those patients were male (28.6%) and fifteen was female (71.4%). Mean BDSQ were 19.19±4.28 and 5.57±2.94 before and af-ter treatment, respectively (p<0.05).  With the re-evaluation of uroflow-EMG patterns, 16/21 (76.2%) patients were improved.

Conclusion: In conclusion, urotherapy is an efficient treatment method in patients with NNLUTD. With this treatment, both subjec-tive (BDSQ) and objective (uroflow-EMG) symptoms can be treated.

Key Words: Pediatric patient, Bladder Dysfunction, Urotherapy