A prospective crossover study comparing ICCS-recommended and Palmer-adjusted filling rates in children with spina bifida.
J Pediatr UrolMay 20, 2026 (epub)
Clinical ResearchUrology
Arzu Canmemiş, Cigdem Ulukaya Durakbasa, Mustafa Yağız
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In 30 seconds
This prospective randomized crossover study evaluated bladder filling rates in 70 children aged 3-18 years with spina bifida. It found that cystometric bladder capacity was lower during fillings at the Palmer-adjusted rate compared to the ICCS-recommended rate. The study highlights the importance of filling rates on urodynamic parameters.
Key findings
- Cystometric bladder capacity was lower at the Palmer-adjusted filling rate compared to the ICCS-recommended rate.
- Reduced compliance significantly decreased in Group 1 (p = 0.046) but remained unchanged in Group 2.
- A significant positive correlation was found between expected bladder capacity and measured MCC in both groups.
Why it matters
Understanding the impact of bladder filling rates on urodynamic parameters is crucial for optimizing management strategies in children with spina bifida, potentially leading to improved clinical outcomes.