Urodynamics, Testing for Children: April 10, 2019
It’s restoring peace to families like Andrea Cappucilli and her six-year-old daughter Rylee. “It gave all the answers that we needed.”
Those answers were provided by urodynamic testing--a new piece of equipment at Golisano Children’s Hospital. “Urodynamic is a tool or a device that we use to allow me to understand better how a child’s bladder is working,” explained Dr. Michael Carr, a pediatric urologist on the medical staff of Golisano Children’s Hospital of Southwest Florida.
Rylee suffered a spinal cord injury as an infant, paralyzing her from the chest down. As she’s gotten older, she started having frequent urinary tract infections. “She just has such a history with UTI infections and her body responds differently to those to where she doesn’t typically have a fever or anything. So at the point where she would start showing symptoms, it’s an ER visit because it’s too late,” said Andrea.
Rylee’s condition made her the perfect candidate for urodynamic testing. “It’s rather sophisticated equipment, so you have to place a catheter in a child’s bladder and then what happens is you can monitor what’s happening to the bladder as it’s filling. Also, we have a C-arm which allows me to take images of the bladder and that way I can understand what the bladder looks like as the study is being done,” said Dr. Carr.
The study can help to determine what’s causing the problem and show doctors the best way to treat it. Patients with urinary incontinence, frequent UTI’s, or other conditions like spina bifida may benefit from the outpatient procedure.
“As a parent too, when you have a kid that has so much that you’re facing, and whatever trials and tribulations you still have ahead of you, to see things visually really brings a sense of calming and peace of mind,” said Andrea.
Giving patients answers and giving families hope.