Role of urodynamics correction incombined therapy of children with urinary infection

Аннотация

The authors propose differentiated complexes of therapy of children
with urinary infection. These complexes include medicines (Mcholinolytics,
antihypoxic drugs and drugs improving microcirculation)
and low-invasive therapy. Clinical experience is reported for 4
boys and 40 girls with microbial-inflammatory urinary diseases.
Standard urodynamic tests were made in all the patients before and
after the course of therapy. Three variants of driptan effects on the
urinary bladder were identified: M-cholinolytic, spasmolytic and
mixed (larger volume and lower intravesical hypertension). Some of
the patients experienced standard endoscopic reflux correction with
the use of synthetic hydrophilic gel. Control urodynamic examinations
3 months after the treatment showed that functional disorders
were reduced. Treatment efficacy was assessed with home flowmetry.
Thus, combined therapy of microbial-inflammatory diseases with parallel
correction of lower urinary tracts urodynamics by M-cholinolytics
improves treatment results. Courses of antibacterial and uroceptic
therapy should be followed by non-invasive monitoring to reveal urodynamic
disorders, define dysfunction type and perform an additional
treatment with mediators in combination with physiotherapeutic procedures.