Enuresis Clinical Trial
Official title:
A Study on Accuracy Improvement of Repeated Measure Uroflowmetry- Electromyography
Uroflowmetry(UF) has been the standard first-line diagnostic tool for the evaluation of pediatric voiding dysfunction. But recently, UF combined with pelvic flow electromyography(EMG) is emphasized and recommended to analyze the separate contributions of the detrusor and bladder outlet and sole UF is discouraged except for the follow-up study after abnormal UF/EMG result(Bauer et al., 2015). However, electrode itself can disturb pelvic floor relaxation and there is no evidence about necessity of consecutive UF/EMG test. Therefore, the investigators are going to compare three different methods (Primary-Secondary: UF/EMG-UF/EMG, UF/EMG-sole UF, sole UF-UF/EMG)
Status | Recruiting |
Enrollment | 51 |
Est. completion date | October 2019 |
Est. primary completion date | October 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 5 Years to 12 Years |
Eligibility |
Inclusion Criteria: 1) children aged 5 to 11.9 who visit pediatric urology department for enuresis. Exclusion Criteria: 1. If children have experience of performing uroflowmetry or uroflowmetry-electromyography. 2. If children do not cooperate on performing the test 3. If enuresis is caused by neurological or anatomical problem. |
Country | Name | City | State |
---|---|---|---|
Korea, Republic of | Department of Urology, | Seoul |
Lead Sponsor | Collaborator |
---|---|
Yonsei University |
Korea, Republic of,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | maximum flow rate(Qmax=cc/s) | The maximum flow rate is the most important uroflowmetry index to diagnose bladder outlet obstruction or bladder contractility. | One day | |
Secondary | Uroflow curve pattern | Uroflow curve pattern: There are 5 uroflow curve patterns, bell-shaped, tower-shaped, interrupted-shaped, staccato-shaped and plateau shaped by uroflowmetry. The shape is determined by detrusor contractility and influenced by abdominal straining, coordination with the bladder outlet musculature and any distal anatomic obstruction. | One day | |
Secondary | post void residual | post-void residual(cc): ultrasonographic bladder scan machines calculates bladder volume. PVR measurements in neurologically intact children are highly variable. PVR must be obtained immediately after voiding(<5min) | One day | |
Secondary | synergy or dyssynergy between the bladder and the pelvic floor. | synergy or dyssynergy between the bladder and the pelvic floor is abstained by combining electromyography with uroflowmetry. | One day |
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