| 1. |
- Abd El-Gawad, Gamal, 1959, et al.
(författare)
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Health-related quality of life after 5-12 years of continent ileal urostomy (Kock reservoir) in children and adolescents.
- 2002
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Ingår i: Scandinavian journal of urology and nephrology. - 0036-5599. ; 36:1, s. 40-5
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To assess quality of life after continent ileal reservoir diversion in children and adolescents. MATERIAL AND METHODS: Nine boys and 9 girls (10.8-18 years old at surgery) were operated with a Kock reservoir and followed for 5-12 years. They participated in an interview using a questionnaire based on the Swedish self-esteem inventory, "I think I am". The questionnaire consisted of 76 questions that covered medical, physical, psychological, social, body image and sexual aspects. RESULTS: Six of 18 patients had some difficulties on catheterization. Five complained of pain or bleeding during evacuation. Two patients had slight urinary leakage between evacuations and 6 had mucus secretion. Ten patients had diarrhea with different frequencies. Physical activities were not hampered by the operation in any patient. Instead, activities such as full day outside home, friend at home overnight, using all types of clothes, and participation in camps were increased in 8, 6, 5 and 5 patients, respectively. All patients but 2 had an excellent relation with friends and family members. More than half of patients had excellent positive self-esteem and body image and the rest had very good self-esteem. However, some patients were concerned about how they looked and felt that life was unfair to them. CONCLUSIONS: The patients were satisfied with their operation. They were physically active and declared a positive perspective regarding self-esteem and body image. The medical problems related to the operation did not have any negative influence on the self-esteem or body image. The choice of the operation can only be determined on the basis of an attentive dialogue between surgeon, child and parents.
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| 2. |
- Hanson, E, et al.
(författare)
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Non-neurogenic discoordinated voiding in children. The long-term effect of bladder retraining.
- 1987
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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
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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.
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| 3. |
- Hellström, Anna-Lena, 1946, et al.
(författare)
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Association between urinary symptoms at 7 years old and previous urinary tract infection.
- 1991
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Ingår i: Archives of disease in childhood. - 1468-2044. ; 66:2, s. 232-4
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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.
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| 4. |
- Hellström, Anna-Lena, 1946, et al.
(författare)
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Micturition habits and incontinence at age 17--reinvestigation ofa cohort studied at age 7.
- 1995
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Ingår i: British journal of urology. - 0007-1331. ; 76:2, s. 231-4
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To study the epidemiology of micturition disturbances in teenagers. SUBJECTS AND METHODS: A subsample of 1034 teenagers previously evaluated at age 7 years was reinvestigated 10 years later. A postal questionnaire was used and a response rate of 71% (736) obtained. Those who reported bladder symptoms were contacted by telephone for a detailed history concerning imperative urge, daytime incontinence, emptying difficulties and bedwetting. RESULTS: There was a general decrease in the frequency and intensity of symptoms from 7 to 17 years of age. At age 17 at least one symptom was reported by 5.9% of the girls and 0.9% of the boys. Overall the symptoms were regarded as mild or moderate. CONCLUSION: At age 17 years, micturition disturbances were reported infrequently and few subjects wanted medical help.
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| 5. |
- Hellström, Anna-Lena, 1946, et al.
(författare)
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Micturition habits and incontinence in 7-year-old Swedish school entrants.
- 1990
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Ingår i: European journal of pediatrics. - 0340-6199. ; 149:6, s. 434-7
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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.
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| 6. |
- Hellström, Anna-Lena, 1946, et al.
(författare)
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Pad tests in children with incontinence.
- 1986
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Ingår i: Scandinavian journal of urology and nephrology. - 0036-5599. ; 20:1, s. 47-50
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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.
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| 7. |
- Hellström, Anna-Lena, 1946, et al.
(författare)
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Rehabilitation of the dysfunctional bladder in children: method and 3-year followup.
- 1987
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Ingår i: The Journal of urology. - 0022-5347. ; 138:4, s. 847-9
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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.
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| 8. |
- Hellström, Anna-Lena, 1946, et al.
(författare)
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Terodiline in the treatment of children with unstable bladders.
- 1989
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Ingår i: British journal of urology. - 0007-1331. ; 63:4, s. 358-62
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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.
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| 9. |
- Hjälmås, Kelm, 1933, et al.
(författare)
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Long-term treatment with desmopressin in children with primary monosymptomatic nocturnal enuresis: an open multicentre study. Swedish Enuresis Trial (SWEET) Group.
- 1998
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Ingår i: British journal of urology. - 0007-1331. ; 82:5, s. 704-9
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To study the long-term efficacy and safety of desmopressin treatment in children with primary monosymptomatic nocturnal enuresis. PATIENTS AND METHODS: Children (aged 6-12 years) with nocturnal enuresis were recruited into an open multicentre trial. All children underwent an observation period of 4 weeks before starting a 6-week dose-titration period with desmopressin. If the number of wet nights decreased by more than half during medication, they began long-term treatment on 20-40 microg desmopressin. To test for cure and avoid overtreatment, the medication was interrupted for one week every third month. RESULTS: Of the 399 children forming the intention-to-treat cohort, 245 halved their number of wet nights and started long-term treatment. During the periods off medication, 77 children were dry and at the end of the study another 73 (still on medication) reduced the number of wet nights to < or =10% of that during the observation period. A further 51 children halved the number of wet nights compared with the observation period. No serious adverse events occurred. CONCLUSION: Long-term treatment with nasal desmopressin at a main dose of 40 microg is an effective and safe treatment for monosymptomatic nocturnal enuresis.
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| 10. |
- Hjälmås, Kelm, 1933, et al.
(författare)
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Pediatrisk urologi
- 2005
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Ingår i: Urologi. - : Studentlitteratur. - 9144028741
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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