Uroflow-Emg Patterns Of Childrens With Lower Urinary Tract Dysfunction

Introduction: Uroflow-EMG is a noninvasive test for the evaluation of lower urinary tract. In our study, we determined uroflow-EMG pattern of children with lower urinary tract dysfunction.Materials and Methods: Between January 2004 and July 2006, 189 children who had the diagnosis of lower urinary tract dysfunction admitted to pediatric urology clinic were studied. The patients were evaluated with history, physical examination, voiding dysfunction symptom score (VDSS), urine analysis, urine culture, lumbosacral graphy, urinary system USG and post-voiding residual urine volume. In the second step of the evaluation uroflow-EMG was performed.Results: Of 189 patients 128 were female and 61 were male. The mean age was 8.3 (6-14) years. In the evaluation of the uroflow-EMG pattern, staccato voiding pattern was detected in 138 (% 73) of 189 patients. Urge voiding pattern was detected in 23 (% 12.1) patients. In 6 patients intermittent voiding pattern and in 7 patients normal voiding pattern with positive EMG activity was detected. In the other 14 patients normal voiding pattern with normal EMG activity was seen.Conclusion: In the evaluation of the response to the treatment, the diagnosis, and the follow-up of the lower urinary tract dysfunction; uroflow-EMG is a noninvasive, objective method in addition to the patient complaints, VDSS and the other noninvasive techniques.