Urodynamic Assessment in Pediatric Lower Urinary Tract Dysfunction: Technical Advances in Pediatric Pressure-flow Testing, Sedation Issues, and Normative Data Updates and the Role of Video-urodynamics and AI-based Image Analysis

Nieuwhof-Leppink AJ, Schroeder RPJ, van de Putte EM, de Jong TPVM, Schappin R. Daytime urinary incontinence in children and adolescents. Lancet Child Adolesc Health. 2019;3(7):492–501. https://doi.org/10.1016/S2352-4642(19)30113-0.

Article  PubMed  Google Scholar 

Kopač M. Pediatric lower urinary tract dysfunction: a comprehensive exploration of clinical implications and diagnostic strategies. Biomedicines. 2024;12(5):945. https://doi.org/10.3390/biomedicines12050945.

Article  PubMed  PubMed Central  Google Scholar 

Fay T, Deshpande AV, Blanc T, Kimber C, Taghavi K. Paediatric urodynamic studies: emerging technologies and new frontiers. Ther Adv Urol. 2025;17:17562872251315927. https://doi.org/10.1177/17562872251315927.

Article  PubMed  PubMed Central  Google Scholar 

Rosier PFWM, Schaefer W, Lose G, Goldman HB, Guralnick M, Eustice S, et al. International continence society good urodynamic practices and terms 2016: urodynamics, uroflowmetry, cystometry, and pressure-flow study. Neurourol Urodyn. 2017;36(5):1243–60. https://doi.org/10.1002/nau.23124.

Article  PubMed  Google Scholar 

Brown ET, Krlin RM, Winters JC. Urodynamics: examining the current role of UDS testing. What is the role of urodynamic testing in light of recent AUA urodynamics and overactive bladder guidelines and the VALUE study? Curr Urol Rep. 2013;14(5):403–8. https://doi.org/10.1007/s11934-013-0361-6.

Article  PubMed  Google Scholar 

Bradley CS, Smith KE, Kreder KJ. Urodynamic evaluation of the bladder and pelvic floor. Gastroenterol Clin North Am. 2008;37(3):539–52. https://doi.org/10.1016/j.gtc.2008.06.006.

Article  PubMed  Google Scholar 

Fay T, Deshpande AV, Blanc T, Kimber C, Taghavi K. Paediatric urodynamic studies: emerging technologies and new frontiers. Ther Adv Urol. 2025;17:17562872251315927. https://doi.org/10.1177/17562872251315927.

Article  PubMed  PubMed Central  Google Scholar 

Ha JS, Lee YS, Han SW, Kim SW. The relationship among flow index, uroflowmetry curve shape, and EMG lag time in children. Neurourol Urodyn. 2020;39(5):1387–93. https://doi.org/10.1002/nau.24349.

Article  PubMed  Google Scholar 

9. Obstetrics & Gynecology [Internet]. [cited 2026 Jan 23]. Available from: https://journals.lww.com/greenjournal/fulltext/2015/11000/practice_bulletin_no__155__urinary_incontinence_in.51.aspx

Wen JG, Djurhuus JC, Rosier PFWM, Bauer SB. Ics educational module: pressure flow study in children. Neurourol Urodyn. 2018;37(8):2311–4. https://doi.org/10.1002/nau.23730.

Article  PubMed  Google Scholar 

Chang SJ, Yang SSD. Variability, related factors and normal reference value of post-void residual urine in healthy kindergarteners. J Urol. 2009;182(4 Suppl):1933–8. https://doi.org/10.1016/j.juro.2009.02.086.

Article  PubMed  Google Scholar 

Asimakopoulos AD, De Nunzio C, Kocjancic E, Tubaro A, Rosier PF, Finazzi-Agrò E. Measurement of post-void residual urine. Neurourol Urodyn. 2016;35(1):55–7. https://doi.org/10.1002/nau.22671.

Article  PubMed  Google Scholar 

Mosalakatane TD, McCulloch M, Nourse P, Coetzee A, Wright A, Raad J, et al. A 15-year retrospective review of urodynamic studies in children at Red Cross War Memorial Children’s Hospital, Cape town, South Africa. BMC Pediatr. 2022;22(1):401. https://doi.org/10.1186/s12887-022-03462-4.

Article  PubMed  PubMed Central  Google Scholar 

Digesu GA, Gargasole C, Hendricken C, Gore M, Kocjancic E, Khullar V, et al. Ics teaching module: ambulatory urodynamic monitoring. Neurourol Urodyn. 2017;36(2):364–7. https://doi.org/10.1002/nau.22933.

Article  PubMed  Google Scholar 

Rantell A, Shakir F, Cardozo L. Ambulatory urodynamics monitoring - a video demonstration. Neurourol Urodyn. 2018;37(8):2305. https://doi.org/10.1002/nau.23573.

Article  PubMed  Google Scholar 

Cantu H, Sharaf A, Bevan W, Hassine A, Hashim H. Ambulatory urodynamics in clinical practice: a single centre experience. Neurourol Urodyn. 2019;38(8):2077–82. https://doi.org/10.1002/nau.24153.

Article  PubMed  Google Scholar 

Deshpande AV, Craig JC, Caldwell PHY, Smith GHH. Ambulatory urodynamic studies (UDS) in children using a Bluetooth-enabled device. BJU Int. 2012;110(4):38–45. https://doi.org/10.1111/j.1464-410X.2012.11475.x.

Article  PubMed  Google Scholar 

Chew LE, Hannick JH, Woo LL, Weaver JK, Damaser MS. The future of urodynamics: innovations, challenges, and possibilities. Neurourol Urodyn. 2025(2). https://doi.org/10.1002/nau.70074.

Abelson B, Majerus S, Sun D, Gill BC, Versi E, Damaser MS. Ambulatory urodynamic monitoring: state of the art and future directions. Nat Rev Urol. 2019;16(5):291–301. https://doi.org/10.1038/s41585-019-0175-5.

Article  PubMed  PubMed Central  Google Scholar 

Gammie A, Speich JE, Damaser MS, Gajewski JB, Abrams P, Rosier PFWM, et al. What developments are needed to achieve less-invasive urodynamics? ICI-RS 2019. Neurourol Urodyn. 2020;39(S3):S36-42. https://doi.org/10.1002/nau.24300.

Article  PubMed  Google Scholar 

Leuteren P, Klijn AJ, Jong T, Dik P. SENS-U: validation of a wearable ultrasonic bladder monitor in children during urodynamic studies. J Pediatr Urol. 2018;14(6):569.e1-569.e6. https://doi.org/10.1016/j.jpurol.2018.07.018.

Article  PubMed  Google Scholar 

Cai PY, Logvinenko T, Omar B, Oottamasathien S, Kurtz M, Estrada C, et al. Real-time bladder volume monitoring for pediatric patients using a commercially available wearable ultrasound device. Neurourol Urodyn. 2025;44(5):1188–92. https://doi.org/10.1002/nau.70060.

Article  PubMed  Google Scholar 

Jourand P, Puers R. The BladderPill: an in-body system logging bladder pressure. Sens Actuators A Phys. 2010(2). https://doi.org/10.1016/j.sna.2010.01.035.

Farag FF, Martens FM, D’Hauwers KW, Feitz WF, Heesakkers JP. Near-infrared spectroscopy: a novel, noninvasive, diagnostic method for detrusor overactivity in patients with overactive bladder symptoms–a preliminary and experimental study. Eur Urol. 2011;59(5):757–62. https://doi.org/10.1016/j.eururo.2010.12.032.

Article  PubMed  Google Scholar 

Pellicer A, Bravo M. Near-infrared spectroscopy: a methodology-focused review. Semin Fetal Neonatal Med. 2011;16(1):42–9. https://doi.org/10.1016/j.siny.2010.05.003.

Article  PubMed  Google Scholar 

van Dort W, Rosier PFWM, Wortel RC, Schroeder RPJ, van Steenbergen TRF, Geurts BJ, et al. Videoflow: uroflowmetry in children exploiting standard care video urodynamic imaging. Neurourol Urodyn. 2025;44(8):1569–74. https://doi.org/10.1002/nau.70135.

Article  PubMed  PubMed Central  Google Scholar 

Rosen J, Johnson L, Joseph DB. Radiation exposure in pediatric videourodynamics: an evaluation of safety in comparison to voiding cystourethrogram. J Pediatr Urol. 2024;20(4):745.e1-745.e6. https://doi.org/10.1016/j.jpurol.2024.06.003.

Article  PubMed  Google Scholar 

Drzewiecki BA, Bauer SB. Urodynamic testing in children: indications, technique, interpretation and significance. J Urol. 2011;186(4):1190–7. https://doi.org/10.1016/j.juro.2011.02.2692.

Article  PubMed  Google Scholar 

Szabó L, Lombay B, Borbás E, Bajusz I. Videourodynamics in the diagnosis of urinary tract abnormalities in a single center. Pediatr Nephrol. 2004;19(3):326–31. https://doi.org/10.1007/s00467-003-1341-8.

Article  PubMed  Google Scholar 

Glassberg KI, Combs AJ, Horowitz M. Nonneurogenic voiding disorders in children and adolescents: clinical and videourodynamic findings in 4 specific conditions. J Urol. 2010;184(5):2123–7. https://doi.org/10.1016/j.juro.2010.07.011.

Article  PubMed  Google Scholar 

Meier KM, Mata C, Kaar JL, Rensing AJ, Dudley AG, Carrasco A, et al. Expert consensus on pediatric urodynamics reporting using modified Delphi technique. J Urol. 2024;212(1):165–74. https://doi.org/10.1097/JU.0000000000004000.

Article  PubMed  Google Scholar 

Kanematsu A, Johnin K, Yoshimura K, Okubo K, Aoki K, Watanabe M, et al. Objective patterning of uroflowmetry curves in children with daytime and nighttime wetting. J Urol. 2010. https://doi.org/10.1016/j.juro.2010.03.121.

Article  PubMed  Google Scholar 

Yerkes EB, Cheng EY, Wiener JS, Austin JC, Tu DD, Joseph DB, et al. Translating pediatric urodynamics from clinic into collaborative research: lessons and recommendations from the UMPIRE study group. J Pediatr Urol. 2021;17(5):716–25. https://doi.org/10.1016/j.jpurol.2021.05.004.

Article  PubMed 

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