364 Urinary incontinence

Functional and morphological anomalies could cause urinary incontinence. The essence of urinary incontinence and emptying disorders is the malfunctioning of the detrusor and/or the sphincter muscles. During the 34-year study period, 4965 paediatric urodynamic examinations were performed. 551 children had videourodynamic examinations, 210 had cystomanometry, and 4,215 had uroflow and ultrasound. Videourodynamics showed normal functioning in 74 patients, vesicoureteral reflux in 301 children, and detrusor dysfunction with increased activity in 182 cases. Neurogenic bladder dysfunction was present in 51 patients, outflow disorder in 18 patients, and wide bladder neck in 23 patients. Vaginal reflux was confirmed in 11 cases. Simple uroflow showed reduced urinary flow with residuum in 60, 43 without residuum, increased urinary flow in 1275 cases, intermittent urinary flow with residuum in 320 cases and regular urinary flow without residuum in 2517 cases. Urodynamic examinations are needed to accurately diagnose abnormalities in the lower urinary tract