Summary
Forty-one children aged 6–14 years consecutively referred for recurrent urinary tract infections (RUTI) and/or enuresis constituted the study group. Cystourethroscopy (CUS) was carried out in 40 children and pathologic findings were revealed in 70% of children with RUTI in the absence of vesico-ureteral reflux (VUR). However, only in 4 patients did CUS influence treatment. Based on these data we conclude that routine CUS is not justified in the evaluation of this group of children unless anatomical infravesical lesions are suspected. VUR was proven in 44% of children with RUTI. In 86% of these ureters abnormal ureteric orifices were demonstrated. We therefore find CUS to be valuable in the assessment of children with both RUTI and VUR, because this examination is helpful in selecting patients who might need operation for severe VUR. CUS was not of therapeutic benefit to children with enuresis. Five patients with macroscopic haematuria during urinary tract infection were not managed differently following CUS.
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References
Ahlgren EW, Bennet EJ, Stephen CR (1971) Outpatient pediatric anesthesiology: a case series. Anesth Analg 50:402
Belman AB (1977) The clinical significance of cystitis cystica in girls: results of a prospective study. J Urol 119:661
Dunn M, Smith PJB, Abrams PH (1978) Endoscopic examination in children. Br J Urol 50:586
Firlit CE, Cook WA (1977) Voiding pattern abnormities in children. Urology 10:25
Gierup J, Ericsson NO (1971) Micturition studies in infants and children. Urodynamics in boys with disorders of the lower urinary tract. Scand J Urol Nephrol 5:1
Harshmann MW, Cromie WJ, Wein AJ, Duckett JW (1981) Urethral stricture disease in children. J Urol 126:650
Hjortrup A, Palm L (1979) Distal urethral stenosis in girls. Ugeskr Lager 141:3450
International reflux study Commitee. Medical versus surgical treatment of primary vesico-ureteral reflux: a prospective international reflux study in children. J Urol 125:277
Johnson DK, Kroovand RL, Perlmutter AD (1980) The changing role of cystoscopy in the pediatric patient. J Urol 123:232
Kaplan GW, Brock WA (1983) Urethral strictures in children. J Urol 129:1200
King LR (1983) Sphincter dyssynergia in children with reflux. J Urol 129:217
Stephens FD (1972) Urological aspects of recurrent urinary tract infections in children. J Pediatr Surg 80:725
Stewart DJ (1973) Experiences with an outpatient anaesthesia service for children. Anesth Analg 52:877
Walther PC, Kaplan GW (1979) Cystoscopy in children: Indication for its use in common urological problems. J Urol 122:717
Wyatt RJ, McRobert JW, Holland NH (1977) Hematuria in childhood: significance and management. J Urol 117:366
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Nielsen, K.K., Qvist, N., Kristensen, E.S. et al. Value of cystourethroscopy in the assessment of children with recurrent urinary tract infections and/or enuresis. Urol. Res. 13, 137–139 (1985). https://doi.org/10.1007/BF00256075
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DOI: https://doi.org/10.1007/BF00256075