Assessment of lower urinary tract dysfunction in children with non-neuropathic bladder sphincter dysfunction

Although nonneuropathic bladder sphincter dysfunction in children is freque ntly encountered, the re is no consensus on the assessment of children pres enting with this problem. An example is given of how these children can be assessed. After a noninvasive screening consisting of history, voiding diar y, clinical examination, urinalysis, ultrasound and uroflowmetry, those chi ldren that will benefit from further videourodynamic studies a re selected. Videourodynamics help to describe accurately the filling phase dysfunction and the voiding phase dysfunction, which helps to outline therapy. By usin g the described methods we a re able to select those patients who will bene fit from pharmacotherapy and those who will benefit from urotherapy.