AUTHOR=Yang Shi-Qin , Zeng Xiao , Peng Liao , Shen Si-Hong , Zhang Jie , Huang Zhi-Hui , Shen Hong , Luo De-yi , Jin Tao 

TITLE=A Y-shape connection device for pediatric patients with an indwelling catheter (Dia = 8Fr) during urodynamic studies, especially for filling phase measurements: a single-center prospective study for safety and effectiveness

JOURNAL=Frontiers in Pediatrics

VOLUME=11

YEAR=2023

URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2023.1271417

DOI=10.3389/fped.2023.1271417

ISSN=2296-2360

ABSTRACT=<sec><title>Introduction</title><p>This prospective study aimed to assess the effectiveness of a Y-shape connection device in reducing pain and bleeding in pediatric patients with indwelling catheters during urodynamic studies (UDS), while also obtaining effective results in the filling phase.</p></sec><sec><title>Methods</title><p>A total of 45 pediatric patients with a mean age of 13 years were included, all of whom underwent both a UDS with the Y-shape connection device (Method A) and a standard UDS procedure (Method B).</p></sec><sec><title>Results</title><p>The Y-shape connection device demonstrated similar overall urodynamic parameters compared to the standard procedure, while also resulting in significantly less bleeding (<italic>P</italic> = 0.006) and lower VAS scores during (1.12 ± 0.58 vs. 3.88 ± 1.01, <italic>P</italic> = 0.001) and after (0.12 ± 0.08 vs 2.91 ± 0.89, <italic>P</italic> = 0.001) the procedure. No adverse events were reported at the 1-month follow-up.</p></sec><sec><title>Discussion</title><p>These findings suggest that the Y-shape connection device can effectively reduce pain and bleeding during and after UDS in pediatric patients with indwelling catheters (Dia = 8Fr), while also obtaining effective results in the filling phase. Therefore, this Y-shape connection device has a more significant value for children who require urodynamic studies and place more emphasis on filling phase parameters.</p></sec><sec><title>Clinical trial registration</title><p>ChiCTR2300068280.</p></sec>