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- Aydogdu, Özgu, 1978, et al.
(författare)
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A challenging review of childhood incontinence: rare complications of dysfunctional elimination syndrome in an epileptic boy.
- 2011
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Ingår i: The Turkish journal of pediatrics. - 0041-4301. ; 53:1, s. 100-3
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Tidskriftsartikel (refereegranskat)abstract
- A multidisciplinary approach is mandatory in defining the cause and directing the treatment of childhood urinary incontinence. Both pediatricians and pediatric urologists should carefully evaluate a child with incontinence for possible overlapping etiologies, before labeling him or her as a refractory case. We report an epileptic boy with dysfunctional elimination syndrome (DES) with associated rare complications of giggle incontinence and idiopathic urethritis, proving the need for a good voiding diary, patient history and structured symptom scores.
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| 2. |
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| 3. |
- Burgu, Berk, et al.
(författare)
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Combining gastric and ileal segments, does it overcome segment-related complications? An experimental study on rats.
- 2011
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Ingår i: Urological research. - : Springer Science and Business Media LLC. - 1434-0879 .- 0300-5623. ; 39:1, s. 39-44
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Tidskriftsartikel (refereegranskat)abstract
- Bladder augmentation has revolutionized the care of children with neurogenic bladder but it is associated with certain short- and long-term complications. Using the combination of gastric and ileal segments to balance effects of these segments might be a solution for complications. A total of 39 female Spraque-Dawley rats randomly divided into four groups: ileocystoplasty (11), gastrocystoplasty (9), ileogastrocystoplasty (11) and control (8). Serum/urine electrolytes and pH values, and serum creatinine levels and urine mucus concentration were measured. Kruskal-Wallis non-parametric variance analysis was performed to compare the groups and p < 0.05 was accepted as significant. Metabolic alkalosis with significantly lower urine pH was observed in gastrocystoplasty group. Gastroileal group showed similar results with the ileal group in all parameters. No stone formation was detected in the sham and gastric cystoplasty groups. Metaplastic and hyperplastic changes were observed in all segments surrounding urothelium. In conclusion, combination of gastric and ileal segments does not significantly reduce the rate of metabolic impairments, stone and mucus formation. Besides it is not associated with significant improvement in histological outcome since urine is still in contact with the gastrointestinal mucosa.
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