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DYSFUNCTIONAL VOIDING IN INFANTS AND YOUNG CHILDREN
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Abstract
Objective: Describe clinical features and results of treatment in infants and children with severe dysfunctional voiding. Patients and methods: Retrospective review of medical records of patients diagnosed with severe dysfunctional voiding, from 2017 to April 2024, at Vietnam National Children’s Hospital. Patients are instructed in clean intermittent catheterization and surgical approach. Results: There were 12 patients, of whom 8 (66.7%) were female, with a mean age of 7.5 months (range: 2 days to 36 months). Of these, 10 patients were under 10 months old, including four newborns. Most patients had urinary tract infections, with a fever rate of 83.3%, and an average of 2.6 hospitalizations (ranging from 1 to 7 times). All patients had residual urine. All cases had bilateral dilatation of the ureter and renal pelvis and bladder trabeculation. 58.3% of patients have vesicoureteral reflux. 2 patients urinate spontaneously without clean intermittent catheterization, three patients require vesicostomy, and others still perform clean intermittent catheterization. Seventy-five percent of patients with bilateral dilatation of the ureter and renal pelvis had normal findings, and 42.9% of patients with vesicoureteral reflux showed improvement. 58.4% of patients preserved normal renal function. Conclusions: Early recognition of severe dysfunction in infants and young children, close monitoring, and appropriate treatment help preserve upper urinary tract and renal function.
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References
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