1.
Hellström, Anna-Lena, 1946, et al.
(författare)
Association between urinary symptoms at 7 years old and previous urinary tract infection.
1991
Ingår i: Archives of disease in childhood. - 1468-2044. ; 66:2, s. 232-4
Tidskriftsartikel (refereegranskat) abstract
The association between current micturition habits and previous urinary tract infection was analysed among 3553 school entrants aged 7 years by means of a questionnaire. A high incidence of urinary infection, confirmed by urine culture, was found (145 (8.4%) in the 1719 girls and 32 (1.7%) in the 1834 boys). There was a significant association between current symptoms that were suggestive of disturbed bladder function and previous urinary tract infection, but only among girls who were over 3 years of age at the time the first episode was diagnosed.
2.
Hellström, Anna-Lena, 1946, et al.
(författare)
Micturition habits and incontinence in 7-year-old Swedish school entrants.
1990
Ingår i: European journal of pediatrics. - 0340-6199. ; 149:6, s. 434-7
Tidskriftsartikel (refereegranskat) abstract
The prevalence of incontinence in children has been extensively studied, but knowledge of other bladder symptoms is lacking in a healthy child population. The micturition habits of 3556 7-year-old school entrants were surveyed by a questionnaire supplemented by telephone interviews. One or more symptoms of a disturbed bladder function was reported in 26%, but most of these had moderate urgency as a sign of incomplete voluntary bladder control. Isolated bedwetting occurred in 2.8% of the girls and 7.0% of the boys, whereas nocturnal incontinence combined with daytime wetting was equally common in both sexes, 2.3% and 2.0% respectively. Diurnal incontinence was reported in 6.0% of the girls and 3.8% of the boys and was usually combined with other symptoms. The frequency of micturition in children without symptoms of bladder disturbance and with no previous urinary tract infection was 3-7 times per day.
3.
Hellström, Anna-Lena, 1946, et al.
(författare)
Pad tests in children with incontinence.
1986
Ingår i: Scandinavian journal of urology and nephrology. - 0036-5599. ; 20:1, s. 47-50
Tidskriftsartikel (refereegranskat) abstract
Different pad tests were compared in 50 incontinent children. In a 2-hour ward test with standardized activities and fluid provocation 70% were positive. In a simple 12-hour home test with 30 children 68% were positive; when a fluid provocation period was included in the home test with 20 children the frequency increased to 80%. Pad tests are easy to perform with children in the home and are valuable as screening instruments. Further, the simultaneous registration of events gives a more complete picture of the incontinence pattern.
4.
Kruse, Sonja, 1949, et al.
(författare)
Daytime bladder dysfunction in therapy-resistant nocturnal enuresis. A pilot study in urotherapy.
1999
Ingår i: Scandinavian journal of urology and nephrology. - 0036-5599. ; 33:1, s. 49-52
Tidskriftsartikel (refereegranskat) abstract
OBJECTIVE: Bedwetting is the most common form of incontinence in children. Research in recent years suggests that there can be many different factors responsible for the problem of bed wetting, one of which is bladder dysfunction. The aim of this pilot study was to identify infrequent voiding ("hold pattern") and to investigate whether increasing the number of micturitions during the day can improve the nocturnal enuresis in children with several failed treatment attempts. MATERIAL AND METHODS: Twenty-two children with severe bedwetting were treated. Twelve of them had had no other treatment than increasing the number of regular micturitions during the day, while 10 patients had had enuresis alarm or desmopressin added. RESULTS: The number of wet nights after 1 month of treatment decreased in all children and the improvement continued in most of the children during the follow-up period. CONCLUSIONS: This study suggests that bladder training by increasing the number of micturitions during the day can be valuable in the treatment of nocturnal enuresis.
5.
Hellström, Anna-Lena, 1946, et al.
(författare)
Terodiline in the treatment of children with unstable bladders.
1989
Ingår i: British journal of urology. - 0007-1331. ; 63:4, s. 358-62
Tidskriftsartikel (refereegranskat) abstract
A double-blind study of terodiline compared with placebo was performed in 58 children aged 6 to 14 years with urgency or urge incontinence. All had an unstable bladder at cystometry. A bladder regimen was emphasised during the study. Continence was improved according to micturition charting and a pad test in both groups. Terodiline at 25 mg/day, however, gave significantly better results than placebo. In patients with a subnormal bladder capacity (less than or equal to 150 ml), a significant increase in capacity was recorded on cystometry during medication with terodiline but not with placebo. The improved continence seen in the placebo group was probably due to the non-specific bladder training achieved by the child's increased awareness and adult involvement during treatment. The even better results attained in the terodiline group shows this drug to be a valuable adjunct to a bladder regimen in children with urge incontinence, particularly since no important adverse effects were noted during an 8-week period.
6.
Hjälmås, Kelm, 1933, et al.
(författare)
Pediatrisk urologi
2005
Ingår i: Urologi. - : Studentlitteratur. - 9144028741
Bokkapitel (övrigt vetenskapligt/konstnärligt)
7.
Sillén, Ulla, 1946, et al.
(författare)
Urodynamics in infants and children
2005
Ingår i: Evaluation and treatment of the neurogenic bladder. - : Taylor and Francis. - 1841845574
Bokkapitel (övrigt vetenskapligt/konstnärligt)
8.
Hellström, Anna-Lena, 1946, et al.
(författare)
Rehabilitation of the dysfunctional bladder in children: method and 3-year followup.
1987
Ingår i: The Journal of urology. - 0022-5347. ; 138:4, s. 847-9
Tidskriftsartikel (refereegranskat) abstract
A rehabilitation program has been developed for children with functional, nonneurogenic bladder disturbance. The basis for the program is a bladder regimen supplemented by biofeedback training if needed. Results in the first 70 children (64 girls and 6 boys) are presented. After 1 and 3 years 36 and 53 children, respectively, had completely normalized voiding patterns, that is they were continent, had no urgency, voided 3 to 6 times a day and emptied the bladder completely in 1 portion with a normal flow rate. The training program is applicable in children with varying urodynamic diagnoses and it has been used in children as young as 4 years old.
9.
Hanson, E, et al.
(författare)
Non-neurogenic discoordinated voiding in children. The long-term effect of bladder retraining.
1987
Ingår i: Zeitschrift für Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft für Kinderchirurgie = Surgery in infancy and childhood. - 0174-3082. ; 42:2, s. 109-11
Tidskriftsartikel (refereegranskat) abstract
Sixteen children with dysfunctional voiding without demonstrable neurological deviation were studied 6 months and five years after completed bladder retraining. The initial good effect on voiding symptoms and urinary tract infections/bacteriuria was confirmed. Moreover, the effect seems to last for several years. Bladder retraining can thus be considered a safe, cheap and relatively effective treatment in many children with symptoms of bladder dysfunction and/or recurrent urinary tract infections.
10.
