Pediatric Urodynamics

Urodynamics is a method used to examine the function of lower urinary tract. It is performed on children after applying minimal sedation, if required. In this method, pressure measuring catheters are placed in urinary tract and anus, and surface electrodes are affixed to the skin. Pressure changes and muscle activities occurre while catheter is giving liquid to the urinary bladder at constant speed and during urination after storage are recorded to the computer. The rates of urine flow and muscle activity can be also measured by urinating the patient to a particular pot. Urodynamics is used for diagnosis and follow up of children born with closed anus, congenital or acquired spinal cord diseases, recurrent urinary tract infections, patients having complaints such as urine leakage from urinary bladders to the kidneys and urinary incontinence or inability to urine, children whose urinary bladders are open congenitally but closed surgically, children who are suspected to have adjustment disorders in lower urinary tracts, and congenital or acquired strictures of urinary tract.

Urodynamics appointment

After the patient is examined in Pediatric Surgery Outpatient clinic, the appointment is scheduled by the physician in the outpatient clinic, if required. The patient is given a urination table of 48 hours and she/he is demanded to fill it in himself/herself preferably. If necessary, enema is recommended before operation for colon cleansing. Since the urine should be sterile before urodynamics, urinalysis may need to be performed again before the appointment date, if it is scheduled for a further date.

Requirements and explanations for urodynamics

• Urination chart should be completed fully and accurately, preferably by the patient.

• Please contact Pediatric Surgery Outpatient clinic on the date of appointment. The examination is performed in a private room in Pediatric Surgery Outpatient Clinic.

• Please bring your approved urodynamics request document with you.

• Please keep your referral documents with you.

• Please bring all X-ray results with you.

• If there is any medication that your child is taking regularly, the medications should be given on regular intervals and doses.

• After the sufficiency of enema is checked, it is also applied in the outpatient clinic, if needed.

• Before the operation, if needed, the child is given fruit juice with sedative medication. Therefore, a beverage favored by the child, such as a particular type of fruit juice or milk should be brought.

• Mother or father of the child is also taken to the examination room, for the adaptation of child to the environment.

• It may be helpful to bring the favorite tools of the child, such as toys, pictures, etc.

• The operation takes approximately 30 minutes.

• The results should be taken at 13:30 on the following working day, from the responsible physician in Pediatric Surgery Outpatient Clinic.