Kate Ann Feinstein MD, Presenter: Nothing to Disclose

Clare E Close MD, Abstract Co-Author: Nothing to Disclose

Lamda P. Msezane MD, Abstract Co-Author: Nothing to Disclose

Rajshri N. Shah MD, Abstract Co-Author: Nothing to Disclose

1.To understand the symptoms of dysfunctional voiding/elimination: urinary tract infection, bed-wetting, encopresis, urgency, frequency. 2. To identify signs of the disorder on abdomen radiography, voiding cystourethrography, and renal sonography. 3. To differentiate normal variant from non-neurogenic/neurogenic anatomy.

Dysfunctional voiding/elimination is a pervasive problem with serious effects upon the health and self-esteem of children. Children who are referred with urinary tract infections, incontinence, vesicoureteral reflux, bed wetting, and encopresis may have findings of dysfunctional voiding/elimination on their routine imaging studies. The range of voiding abnormalities resulting from the in-coordination of the bladder and sphincter includes the unstable bladder, the lazy bladder, the non-neurogenic neurogenic bladder, constipation and fecal retention. Successful treatment of the clinical problems requires detection of the underlying voiding disorder. Chidren with these symptoms undergo abdomen radiography, VCUG, and renal sonography as the mainstay of their evaluation. Diagnostic features of the underlying dysfunctional voiding/elimination syndrome are described in this exhibit. The radiologist may be able to guide the pediatrician in diagnosis of this common but neglected syndrome.

Feinstein, K, Close, C, Msezane, L, Shah, R, Imaging of Dysfunctional Voiding/Elimination in Children: So Common We Don’t See It.  Radiological Society of North America 2005 Scientific Assembly and Annual Meeting, November 27 - December 2, 2005 ,Chicago IL. http://archive.rsna.org/2005/4408202.html