Abstract：
Contrast enhanced voiding ultrasonography (ceVUS) has not been widely reported to be used during video urodynamics (UDS). We previously reported on the feasibility of this. In this study, we aimed to understand how parents perceived their child\'s experience of undergoing ceVUS during UDS compared to fluoroscopic (fluoro) UDS.
Children who underwent both fluoro UDS and ceVUS UDS were recruited. Parents were asked to complete a questionnaire to evaluate their experience with both studies. Demographics including gender, age at study, and diagnosis were collected to account for differences in perception. Statistical analysis was performed.
53 patients were included: 31 girls, 22 boys. Diagnoses included myelomeningocele (67.9%), low/tethered cord (13.2%), closed spinal dysraphism (9.4%), posterior urethral valve (1.9%), cloacal anomaly (1.9%), caudal regression (1.9%), myeloschisis (1.9%), and cerebral palsy (1.9%). There was no statistical difference in mean age at fluoro UDS and ceVUS UDS (77.3 months vs 99.7 months respectively, p = 0.09). All 53 parents (100%) were satisfied/very satisfied with their ceVUS experience; 48 parents (90.6%) preferred ceVUS, 3 parents (5.7%) preferred fluoro UDS, and 2 (3.8%) were neutral. On average, parents perceived ceVUS to be more comfortable (72.7%) and produce better results (67.4%) than fluoro UDS. The majority felt that both studies allowed the same contact with their child (52.3%) and took the same amount of time (50.0%). However 29.5% felt ceVUS was faster and 34.1% felt ceVUS allowed more contact with their child (Fig. 1). 26 parents (49.1%) specifically noted no radiation as the reason why they preferred ceVUS over fluoro. The average age at ceVUS UDS was younger in those who preferred ceVUS UDS compared to those who preferred fluoro UDS (94.6 months vs 180.0 months, p = 0.03). The average age at fluoro UDS was younger in those who preferred ceVUS UDS vs fluoro UDS (73.1 months vs 144 months, p = 0.03). Gender\'s influence on preference approached significance (p = 0.07); all 3 parents who preferred fluoro UDS had male children.
The majority of parents preferred ceVUS over fluoro UDS. ceVUS was perceived to be more comfortable and provide better results. Many parents highlighted no radiation and no fluoroscopic machinery as factors in preference of ceVUS over fluoro. The parents who preferred ceVUS UDS had children who had both studies done at an earlier age compared to the parents who preferred fluoro UDS.
Children who underwent both fluoro UDS and ceVUS UDS were recruited. Parents were asked to complete a questionnaire to evaluate their experience with both studies. Demographics including gender, age at study, and diagnosis were collected to account for differences in perception. Statistical analysis was performed.
53 patients were included: 31 girls, 22 boys. Diagnoses included myelomeningocele (67.9%), low/tethered cord (13.2%), closed spinal dysraphism (9.4%), posterior urethral valve (1.9%), cloacal anomaly (1.9%), caudal regression (1.9%), myeloschisis (1.9%), and cerebral palsy (1.9%). There was no statistical difference in mean age at fluoro UDS and ceVUS UDS (77.3 months vs 99.7 months respectively, p = 0.09). All 53 parents (100%) were satisfied/very satisfied with their ceVUS experience; 48 parents (90.6%) preferred ceVUS, 3 parents (5.7%) preferred fluoro UDS, and 2 (3.8%) were neutral. On average, parents perceived ceVUS to be more comfortable (72.7%) and produce better results (67.4%) than fluoro UDS. The majority felt that both studies allowed the same contact with their child (52.3%) and took the same amount of time (50.0%). However 29.5% felt ceVUS was faster and 34.1% felt ceVUS allowed more contact with their child (Fig. 1). 26 parents (49.1%) specifically noted no radiation as the reason why they preferred ceVUS over fluoro. The average age at ceVUS UDS was younger in those who preferred ceVUS UDS compared to those who preferred fluoro UDS (94.6 months vs 180.0 months, p = 0.03). The average age at fluoro UDS was younger in those who preferred ceVUS UDS vs fluoro UDS (73.1 months vs 144 months, p = 0.03). Gender\'s influence on preference approached significance (p = 0.07); all 3 parents who preferred fluoro UDS had male children.
The majority of parents preferred ceVUS over fluoro UDS. ceVUS was perceived to be more comfortable and provide better results. Many parents highlighted no radiation and no fluoroscopic machinery as factors in preference of ceVUS over fluoro. The parents who preferred ceVUS UDS had children who had both studies done at an earlier age compared to the parents who preferred fluoro UDS.
摘要：
目的：对比增强排尿超声（ceVUS）尚未被广泛报道用于视频尿动力学（UDS）。我们以前报道过这种方法的可行性。在这项研究中,我们的目的是了解与透视（荧光）UDS相比，父母如何看待孩子在UDS期间接受ceVUS的经历。
方法：招募同时接受氟UDS和ceVUSUDS的儿童。父母被要求填写一份问卷，以评估他们在这两项研究中的经历。人口统计，包括性别，学习年龄，收集和诊断以解释感知的差异。进行统计分析。
结果：53例患者包括：31名女孩，22个男孩诊断包括脊髓膜膨出（67.9％），低/系绳（13.2%），闭合性脊柱发育不良(9.4%),后尿道瓣膜(1.9%),泄殖腔异常(1.9%)，尾回归（1.9%），骨髓分裂（1.9％），和脑瘫(1.9%)。氟UDS和ceVUSUDS的平均年龄没有统计学差异（分别为77.3个月和99.7个月，p=0.09)。所有53名父母（100％）对他们的ceVUS体验感到满意/非常满意；48名父母（90.6％）首选ceVUS，3名父母（5.7％）首选氟UDS，和2（3.8％）为中性。平均而言,父母认为ceVUS比氟UDS更舒适(72.7%)，产生更好的结果(67.4%)。大多数人认为，两项研究都允许与孩子进行相同的接触（52.3％），并花费相同的时间（50.0％）。然而，29.5%的人感到ceVUS更快，34.1%的人感到ceVUS允许与孩子更多的接触（图。1).26位父母（49.1％）特别指出没有辐射是他们更喜欢ceVUS而不是氟的原因。与那些更喜欢含氟UDS的人相比，那些更喜欢ceVUSUDS的人的平均年龄更年轻(94.6个月比180.0个月，p=0.03)。在那些更喜欢ceVUSUDS和氟代UDS的人中，氟代UDS的平均年龄更年轻（73.1个月比144个月，p=0.03)。性别对偏好的影响接近显着性（p=0.07）；所有3位偏爱氟UDS的父母都有男性孩子。
结论：大多数父母更喜欢ceVUS而不是氟UDS。ceVUS被认为更舒适，并提供更好的结果。许多父母强调没有辐射和没有荧光透视机制是ceVUS优先于氟的因素。与偏爱氟代UDS的父母相比，偏爱ceVUSUDS的父母的孩子在较早的年龄进行了两项研究。
方法：招募同时接受氟UDS和ceVUSUDS的儿童。父母被要求填写一份问卷，以评估他们在这两项研究中的经历。人口统计，包括性别，学习年龄，收集和诊断以解释感知的差异。进行统计分析。
结果：53例患者包括：31名女孩，22个男孩诊断包括脊髓膜膨出（67.9％），低/系绳（13.2%），闭合性脊柱发育不良(9.4%),后尿道瓣膜(1.9%),泄殖腔异常(1.9%)，尾回归（1.9%），骨髓分裂（1.9％），和脑瘫(1.9%)。氟UDS和ceVUSUDS的平均年龄没有统计学差异（分别为77.3个月和99.7个月，p=0.09)。所有53名父母（100％）对他们的ceVUS体验感到满意/非常满意；48名父母（90.6％）首选ceVUS，3名父母（5.7％）首选氟UDS，和2（3.8％）为中性。平均而言,父母认为ceVUS比氟UDS更舒适(72.7%)，产生更好的结果(67.4%)。大多数人认为，两项研究都允许与孩子进行相同的接触（52.3％），并花费相同的时间（50.0％）。然而，29.5%的人感到ceVUS更快，34.1%的人感到ceVUS允许与孩子更多的接触（图。1).26位父母（49.1％）特别指出没有辐射是他们更喜欢ceVUS而不是氟的原因。与那些更喜欢含氟UDS的人相比，那些更喜欢ceVUSUDS的人的平均年龄更年轻(94.6个月比180.0个月，p=0.03)。在那些更喜欢ceVUSUDS和氟代UDS的人中，氟代UDS的平均年龄更年轻（73.1个月比144个月，p=0.03)。性别对偏好的影响接近显着性（p=0.07）；所有3位偏爱氟UDS的父母都有男性孩子。
结论：大多数父母更喜欢ceVUS而不是氟UDS。ceVUS被认为更舒适，并提供更好的结果。许多父母强调没有辐射和没有荧光透视机制是ceVUS优先于氟的因素。与偏爱氟代UDS的父母相比，偏爱ceVUSUDS的父母的孩子在较早的年龄进行了两项研究。
