OBJECTIVE: Primary vesical @entity7261 is generally diagnosed during urological evaluation for recurrent @entity293 that are frequently associated with the symptoms of @entity1973 . A urodynamic study was performed in @entity1 with primary vesical @entity7261 to confirm or discard the presence of @entity409 , its relationship with @entity3025 , which is associated with @entity7261 , and the results achieved by surgical versus medical treatment. METHODS/RESULTS: A urodynamic study was carried out in 11 @entity1 (7 @entity1 and 4 @entity1 ), aged 6 to 13 years, with primary vesical @entity7261 . The @entity7261 was parameatal in 7 cases (4 with reflux), posterolateral in 2 cases (1 with reflux), anterolateral in 1 @entity1 and 1 @entity1 had multiple @entity1494 without @entity16 . Surgery was indicated in 8 cases and 3 were managed conservatively. Vesicourethral function, at the time the @entity7261 was diagnosed, was normal in 3 (27%) and pathological in 8 (73%) @entity1 . The urodynamic study disclosed uncoordinated vesicosphincteric function (4 pts), vesical instability (3 pts) and @entity8814 (1 pt). Of these 4 cases with @entity74 , @entity7261 was associated with @entity3025 . Of the 8 @entity1 submitted to surgery, 6 had a functional pathology preoperatively; following surgical treatment of the @entity7261 , vesicourethral function returned to normal in all cases. Of the 3 cases managed conservatively, 2 had persistent @entity74 despite drug therapy; one of them had clinical features of @entity322 . CONCLUSIONS: These fundings suggest that alterations of bladder function might arise from the anatomic changes in the detrusor muscle causing the @entity7261 and contribute to the onset or persistence of reflux, and should be considered an additional criterion for indicating surgery. It is therefore suggested that a urodynamic study for its diagnosis be included in the protocol for evaluation of @entity1 with primary vesical @entity7261 .

[Functional changes in the bladder of @entity1 with primary XXXX ].

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'boys', 'patient', 'girls'] @entity322 :: ('MESH:D014549', 'Disease') :: ['urinary incontinence'] @entity1494 :: ('MESH:D001745', 'Disease') :: ['bladder diverticula'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurological disorder'] @entity409 :: ('MESH:D008107', 'Disease') :: ['vesicourethal dysfunction'] @entity1973 :: ('MESH:D001750', 'Disease') :: ['urinary dysfunction'] @entity7261 :: ('MESH:D004240', 'Disease') :: ['diverticulum'] @entity8814 :: ('MESH:D015814', 'Disease') :: ['vesical hypotony'] @entity3025 :: ('MESH:D014718', 'Disease') :: ['vesicoureteral reflux'] @entity74 :: ('MESH:D030342', 'Disease') :: ['urodynamic disorders'] @entity293 :: ('MESH:D014552', 'Disease') :: ['urinary tract infection']
@entity1494 :: (MESH:D001745,Disease) :: ['bladder diverticulum']
