Nesterenko O.V. 1
Goremykin V.I. 1
Mescheryakova E.E. 1
Elizarova S.Yu. 1
Sidorovich O.V. 1
1 GBOU VPO “Saratov State Medical University of V.I.Razumovskii of Russian Ministry of Health”
Investigation of urodynamics of upper and lower urinary tract in children age 5-15 with secondary chronic pyelonephritis was held. Urodynamics condition was evaluated according to the uroflowmetry, registration of spontaneous voiding rate, the quantitative parameters of ureteral emissions were investigated by spectral Doppler mode. We have identified disturbances of urodynamics at different levels of the urine passage. Disturbances of the kinetics of the sphincters were typical for children with secondary chronic pyelonephritis, that appeared in their chaotic contractions during urination, expressed in the increase of the number of discontinuous curves and crests on them. The reservoir function was also broken in children with secondary pyelonephritis. To a large extent this was manifested by detrusor maladjustment. A reduction in both the maximum and minimum speed ureteral release was shown in 90% of children.