Children’s post void residual urine and bladder void volume adopted as New World Standard

Children’s lower urinary tract dysfunciton (bladder and urethra dysfunction) often cause bed-wetting, urine incontinence, overactive bladder, dysuria, bladder outlet obstruction, urinary tract infection, vesicoureteral reflux and hydronephrosis. Our urology department investigated more than a thousand children’s bladder function and established children’s normal reference value of post void residual urine, and the reference value was adoped by International Children’s Continence Society (ICCS) as a new world standard in 2014. Peak uroflowmetry nomogram, the Tzu Chi Nomogram, is a valuable parameter in defining lower urinary dysfunciton.

Through understanding of lower urinary tract function in children, we teach proper voiding posture, adequate liquid intake, early toilet training, and etc to treat baby urine tract infection/ vesicoureteral reflux. The results show a reduction of 95% surgery for vesicoureteral reflux with 9% recurrence rate of infection, which is much better than the world wide 30% recurrence rate. In 2014 and 2015 our team was awarded National SNQ Quality Mark.