Abstract
Bladder dysfunction in children is common, the most frequent underlying causes are neurologic bladder (NB), dysfunctional voiding syndrome (DVS), and the valve bladder syndrome (VBS). The aim of this study was to determine the 10-y survival rate and the associated morbidities in children with bladder dysfunction. One hundred ninety-nine children were included in the study; 60 with VBS, 75 DVS, and 64 NB. The mean age was 44 mo (CI: 37–50.9) and mean GFR 50.1 (CI 44.6–55.6) mL/min/1.73m2. The 10-y survival rate was 89%. Compared with patients with VBS, the mortality was 11 times higher among patients with NB (p = 0.02) but not significantly higher than patients with DVS (p = 0.2). GFR < 15 mL/min/1.73 m2 increases mortality rate by 6 times compared with normal GFR (p = 0.007). Late age at presentation (> 5 y) increases mortality risk and/or the need for renal replacement therapy (RRT) by almost 5 times (p = 0.013). It was concluded that the etiology of bladder dysfunction, baseline GFR, and the age at presentation significantly influence the survival rate and morbidities.
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Acknowledgements
The authors would like to thank Ms. Layla Abdullah for helping in data collection and statistical analyses.
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SE-D wrote the manuscript, helped in data collection; MB took care of surgical part comments, discussion, helped in surgical data collection; KK took care of radiological part comment, helped in data collection; AA took care of statistical part; JK distributed roll for each member of the team revision and correction of the manuscript and is the guarantor for this paper.
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El-Desoky, S.M., Banakhar, M., Khashoggi, K. et al. Outcome of Urinary Bladder Dysfunction in Children. Indian J Pediatr 89, 67–70 (2022). https://doi.org/10.1007/s12098-021-03926-y
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DOI: https://doi.org/10.1007/s12098-021-03926-y