Mesane disfonksiyonları tekrarlayan idrar yolu enfeksiyonlarının ne kadarından sorumludur?

Aim: Lower urinary tract function disorders are frequently seen urological problem in children, admitted us for the presence of incontinance, urgency, wetting and increased urination need. Whereas they can only be presented by recurrent urinary tract infection. The aim of this study is to evaluate the frequency of lower urinary tract function disorders in patients coming with recurrent urinary tract infection without any complaint on history taking and to emphasize the necessity of urodynamic evaluation for etiology of recurrent urinary tract infections even if there were no any history.Material and Method: The study was conducted out by 564 patients underwent urodynamic evaluation in our clinic, 300 cases with bladder dysfunction history, underwent urodynamic evaluation were classified in group1. In group 2 there were cases without any bladder dysfunction history but with undefined etiology of recurrent urinary tract (R.UTI) infection.Results: At the end of study, the number of cases with pathological urodynamic evaluation, were similar to each other in both groups, 86.3% and 84%, respectively. In secondly taken history of group 2, it was seen that actually in 63% of this group had complaints at beginning, only 37% (n=98) of them had a compatible history with former. Among the 98 cases getting sure that without any complain, 63 of them had urodynamical pathology (63/98;64%). It was seen that in 29 of 113 bladder instability case (29/113; 25.6%) in group 2, had really no bladder dysfunction complaint, the only data was recurrent urinary tract infection. Also, in 85 cases diagnosed with dysfunctional bladder, the rate of being only finding of R.UTI was found as 17/85; 20% and 17/24; 71% in lazy bladder.Conclusions: It is important to take a careful history from children with R.UTI’s before performing advanced exams, in the evaluation of bladder dysfunctions. As it was seen in our study, a specific and more friendly environment in which patient and parents be relax, must be supplied for a careful history taking. Also, it must be in mind that, there is urodynamical pathology without any bladder dysfunction history, in significiantly high rate of cases. (Turk Arch Ped 2013; 48: 110-6