PMID: 9179664Jan 1, 1997Paper

Feasibility of urodynamic study (combined cystometry and electromyography of the external urethral sphincter) under general anesthesia in children

International Journal of Urology : Official Journal of the Japanese Urological Association
K AmedaT Koyanagi

Abstract

To assess the feasibility of urodynamic study under general anesthesia (GA) we performed electromyography of the external urethral sphincter (EUS-EMG) on 73 children and cystometry (CM) alone on 10 children. Subjects were divided into 3 groups. Those in groups I and II were suspected of having voiding dysfunction with (group I) or without (group II) overt neurospinal defects, while those in group III were thought to be functionally normal. EUS-EMG was performed under light anesthesia following cystourethroscopy to examine structural abnormalities. Atropine sulfate premedication was not used for the anesthetic procedure; muscle relaxants were used only for tracheal intubation. Voiding was observed in 83% of the patients. Among patients who voided, detrusor-external sphincter dyssynergia (DSD) was noted in 7 (38%) group I patients and 6 (19%) group II patients; in group III, voiding was synergic in all patients. In 10 cases, CM alone was carried out both under anesthesia and in the waking state; anesthesia suppressed detrusor hyperreflexia (DH) in all 9 patients but produced no change in bladder compliance. In children with urinary disorders, urodynamic study under GA following cystourethroscopy is a feasible method for assessing...Continue Reading

References

Feb 1, 1978·The Journal of Urology·C F FirlitL R King
May 1, 1977·The Journal of Urology·H B GrossmanA C Diokno
Oct 1, 1976·British Journal of Urology·P T Doyle, C E Briscoe
Aug 1, 1992·The Journal of Urology·A AtalaR M Scott
Aug 1, 1989·The Journal of Urology·S B BauerA B Retik
Sep 1, 1982·The Journal of Urology·J A RobertsR Thomas
Jan 1, 1980·The Journal of Urology·S A KoffK G Lieding

❮ Previous
Next ❯

Citations

Oct 22, 1998·International Journal of Urology : Official Journal of the Japanese Urological Association·T ChikaraishiT Koyanagi
Jul 28, 2005·International Journal of Urology : Official Journal of the Japanese Urological Association·Katsuya Nonomura, Hidehiro Kakizaki

❮ Previous
Next ❯

Related Concepts

Related Feeds

Ataxias (MDS)

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.

Ataxia

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.