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In the name of god

In the name of god. Voiding dysfunction. Up to 40% ped.urol.clinic visits 15-50% of VUR patients 4-6% daytime wetting in 7 years old Expecting daytime dryness 4 years. Ectopic ureter. Epispadias. Before treatment creatinine 3.1 mg %. After treatment creatinine 1.1 mg %. Reflux .

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In the name of god

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  1. In the name of god

  2. Voiding dysfunction Up to 40% ped.urol.clinicvisits 15-50% of VUR patients 4-6% daytime wetting in 7 years old Expecting daytime dryness 4 years

  3. Ectopic ureter

  4. Epispadias

  5. Before treatment creatinine 3.1 mg % • After treatment creatinine 1.1 mg %

  6. Reflux F.E 2.5 month Before STING • After STING

  7. Vaginal voiding

  8. Myelomeningocele

  9. Myelomeningocele

  10. Sacral Agenesis

  11. Sacral Agenesis

  12. Sacral Agenesis

  13. Evaluation History Ph.Exam Voiding Dairy UTI Fecal Problem

  14. Ph.Exam Sacral Malformation Lipoma Hemangioma Hairy patch asymmetry

  15. Ph.Exam Rectal Tone Perineal Sensation MeatalStenosis Labial Adhesion Neurologic Exam

  16. Evaluation Lab Sono KUB-VCUG MRI(any suspicious of neurologic dysfunction) Flow-EMG CMG-EMG

  17. UDS Neurologic Disease Renal Damage Imperforated Anus Some Anomalies such as PUV V.D. refractory to conservative treatment

  18. Treatment Constipation(30-90% in V.D) Eliminate irritants(caffeine,chocolate,juice,tomato and spicy foods.) Perineal and genital irritation Time voiding , Double voiding

  19. Pharmecoherapy 40-70% efficacy Anticholinergic Ditropan Detrositol Alpha blockers

  20. Biofeedback to 70% improvement

  21. Psychologic consult Attention deficit Learning Disorder Family Problem Child abuse

  22. CIC Botox to 70% improvement TENS in selected cases of OAB Augmentation

  23. prognosis Mostly favorable upto 90%

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