Ambulatory urodynamic studies (UDS) in children using a Bluetooth-enabled device

作者：Deshpande Aniruddh V^*; Craig Jonathan C; Caldwell Patrina H Y; Smith Grahame H H

来源：BJU International, 2012, 110: 38-45.

DOI：10.1111/j.1464-410X.2012.11475.x

• continuous bladder monitoring
• urinary bladder
• voiding dysfunction
• urodynamic studies (UDS)
• diagnosis

Objectives
To report the early observations of using ambulatory urodynamic studies (UDS) using a Bluetooth-enabled device in children
To evaluate the incremental value of ambulatory over conventional UDS.
Patients and methods
Ambulatory UDS were performed in selected children with voiding dysfunction between August 2009 and October 2010.
Conventional UDS were concurrently performed wherever possible.
The test results and treatment consequences of the two tests were compared.
Results
In all, 12 ambulatory and seven conventional UDS were performed on 10 children (five boys, median [range] age 7 [416] years).
Six of the seven children had a normal conventional UDS. Ambulatory UDS detected phasic detrusor overactivity (DO) in five children and generalised DO in one.
Direct correlation of symptoms to DO was possible in two children during ambulatory UDS. Pressure rise during filling, seen in two children on conventional UDS, was not seen during ambulatory UDS.
Five children showed clinical improvement when therapy was guided by ambulatory UDS results.
Ambulatory UDS was generally well tolerated in eight children, with two complaining of discomfort. Inadequate information was obtained in two children who underwent ambulatory UDS due to technical problems in one and distress induced by the UDS in the other.
Conclusions
Ambulatory UDS provides useful additional information over conventional UDS and can be used to guide further therapy in selected children with voiding dysfunction.
It is safe and well tolerated in children.
There is a need for explicit guidance for the technical delivery and interpretation of ambulatory UDS in children.

• 出版日期2012-12