TY - JOUR
T1 - Urethral length in girls with lower urinary tract symptoms and forme fruste of female epispadias
AU - Hirdes, Meike M. C.
AU - de Jong, Tom P. V. M.
AU - Dik, Pieter
AU - Vijverberg, Marianne A. W.
AU - Chrzan, Rafal
AU - Klijn, Aart J.
PY - 2010
Y1 - 2010
N2 - To investigate systematically the length of the urethra in girls with lower urinary tract symptoms. In a group of 121 consecutive girls presented at a tertiary referral clinic for urinary incontinence or recurrent urinary tract infections, urethral length was measured by perineal ultrasound. The urethra was measured with the patient in supine position without anesthesia. Mean age of the patients was 7.8 (0-15) years. Average urethral length was 26 mm. Minimum length was 12 mm, measured in a 5-year-old girl with dribbling incontinence. Maximum measured length was 40 mm in a 15-year-old girl. In four girls (3.3%), aged 1-10 years (mean 6.3), a short urethra was detected, with measured lengths of 12 and 14 mm. All four had normal genitalia, and were referred with therapy-resistant urinary incontinence or urinary tract infections. A gradual increase in average urethral length was measured from 23 mm at birth to 32 mm at 15 years. Urethral length can be measured accurately by ultrasound. Although a short urethral length is rarely detected by ultrasound in girls with incontinence, it may be associated with therapy-resistant incontinence. In such cases, different treatment options are available
AB - To investigate systematically the length of the urethra in girls with lower urinary tract symptoms. In a group of 121 consecutive girls presented at a tertiary referral clinic for urinary incontinence or recurrent urinary tract infections, urethral length was measured by perineal ultrasound. The urethra was measured with the patient in supine position without anesthesia. Mean age of the patients was 7.8 (0-15) years. Average urethral length was 26 mm. Minimum length was 12 mm, measured in a 5-year-old girl with dribbling incontinence. Maximum measured length was 40 mm in a 15-year-old girl. In four girls (3.3%), aged 1-10 years (mean 6.3), a short urethra was detected, with measured lengths of 12 and 14 mm. All four had normal genitalia, and were referred with therapy-resistant urinary incontinence or urinary tract infections. A gradual increase in average urethral length was measured from 23 mm at birth to 32 mm at 15 years. Urethral length can be measured accurately by ultrasound. Although a short urethral length is rarely detected by ultrasound in girls with incontinence, it may be associated with therapy-resistant incontinence. In such cases, different treatment options are available
U2 - https://doi.org/10.1016/j.jpurol.2009.10.013
DO - https://doi.org/10.1016/j.jpurol.2009.10.013
M3 - Article
C2 - 20056560
SN - 1477-5131
VL - 6
SP - 372
EP - 375
JO - Journal of pediatric urology
JF - Journal of pediatric urology
IS - 4
ER -