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19–22 APRIL, 2017, BARCELONA, SPAIN
08:45–08:48
S20-8 (PP)
VOIDING POSITION DURING UROFLOWMETRY
SHOULD BE CUSTOMIZED TO CHILDS PREFERENCE
FOR CULTURES WHERE SQUATTING IS COMMON
Eriz ÖZDEN
1
, Anar IBRAHIMOV
2
, Parviz HAJIYEV
1
, Onur TELLI
1
, Arif IBIS
2
,
Tarkan SOYGUR
1
and Berk BURGU
1
1) Ankara University School of Medicine, Pediatric Urology, Ankara, TURKEY - 2) Ankara University School of Medicine,
Urology, Ankara, TURKEY
PURPOSE
Uroflowmetry can be challenging for most children due to unfamiliar environment. In some cul-
tures like ours, most children have the home habit of squatting and never experiences sitting for
micturition. However most classical uroflowmetry equipments are designed for sitting or standing
positions. We aimed to investigate whether the change of voiding position different than home habit,
affects the uroflowmetric measures in kids with and without lower urinary tract dysfunction(LUTD).
MATERIAL AND METHODS
We compared uroflowmetric parameters during habitual voiding position with the classical sitting
position in both groups and genders.
A total of 66 patients with LUTD and 72 healthy controls were enrolled. All children were questioned
about their home habit and underwent uroflowmetic test in both positions twice. In some boys stand-
ing position was also evaluated. Pattern, voided-volume, maximum flow rate(Qmax), voidingtime,
and time to maximum flow were recorded. Postvoiding residue(PVR) were alsonoted. Following
uroflowmetry, all patients were asked to evaluate and grade their experience with special questions
focusing on the position.
RESULTS
The mean age was. 10.7±4.5. In all groups, girls had higherQmax in both positions. Only in girls
with LUTD the change ofposition affected the residual urine significantly(p < 0.05). Position did not
affect any parameter in healthy controls. All children graded the habitual position higher and wished
to repeat the future tests in familiar position.
CONCLUSIONS
The preferred voiding position may differ among children for some cultures. As even clinically
important parameterslike PVR can be affected by position, in cultures where squatting is frequent,
necessary adaptors should be provided to preference.