UltraWee: Ultrasound Bladder Stimulation
| Status: | Enrolling by invitation |
|---|---|
| Healthy: | No |
| Age Range: | Any |
| Updated: | 1/13/2019 |
| Start Date: | February 2019 |
| End Date: | November 2019 |
UltraWee: Ultrasound Bladder Stimulation to Help With Clean Catch Urine in Pre-Continent Children
The UltraWee study is a prospective randomized controlled trial used to compare the success
rate of and time to obtaining a urine sample in pre-continent children between standard clean
catch urine (CCU) method and using ultrasound stimulation clean catch methods. The objectives
of this study are to see if ultrasound stimulation increases success rate of micturition,
decreases time to micturition, and decreases the use of more invasive techniques for urine
collection.
rate of and time to obtaining a urine sample in pre-continent children between standard clean
catch urine (CCU) method and using ultrasound stimulation clean catch methods. The objectives
of this study are to see if ultrasound stimulation increases success rate of micturition,
decreases time to micturition, and decreases the use of more invasive techniques for urine
collection.
Standard procedure for obtaining urine samples in the pediatrics emergency department
consists of a clean catch urine (CCU). For those patients who are still pre-continent, this
involves cleaning the genitourinary (GU) area with betadine followed with waiting with a
specimen cup for the patient to produce urine.
Currently, the CCU technique has had mixed success rates of micturition, some studies showing
as low as 12% success rate. Because of the mixed success rates, often times these patients
are subjected to the discomfort and trauma of a urinary catheter. Catheterization also occurs
in patients with clinical conditions that require urine samples under time sensitive
conditions.
Less invasive ways of urine collections have been recently studied. The Quick-Wee study was a
novel study that showed a promising alternative to obtaining urine samples in pre-continent
children when compared to the CCU sample. This method served as a noninvasive way to obtain a
urine sample, thus preventing uncomfortable and traumatic urinary catheterizations and
improving parent satisfaction scores.
The investigators hope to study the effectiveness of another technique for obtaining a urine
sample without urinary catheterization: ultrasound stimulation. By incorporating ultrasound
evaluation of the bladder, the UltraWee study hopes to decrease the number of failed attempts
at obtaining a urine sample in pre-continent children less than thirty-six months of age.
The UltraWee study will be a prospective randomized controlled trial comparing success rate
of and time to obtaining a urine sample in pre-continent children between standard clean
catch urine method and using ultrasound stimulation clean catch methods. The objective of
this study is to see if ultrasound stimulation increases success rate and decreases time to
micturition.
consists of a clean catch urine (CCU). For those patients who are still pre-continent, this
involves cleaning the genitourinary (GU) area with betadine followed with waiting with a
specimen cup for the patient to produce urine.
Currently, the CCU technique has had mixed success rates of micturition, some studies showing
as low as 12% success rate. Because of the mixed success rates, often times these patients
are subjected to the discomfort and trauma of a urinary catheter. Catheterization also occurs
in patients with clinical conditions that require urine samples under time sensitive
conditions.
Less invasive ways of urine collections have been recently studied. The Quick-Wee study was a
novel study that showed a promising alternative to obtaining urine samples in pre-continent
children when compared to the CCU sample. This method served as a noninvasive way to obtain a
urine sample, thus preventing uncomfortable and traumatic urinary catheterizations and
improving parent satisfaction scores.
The investigators hope to study the effectiveness of another technique for obtaining a urine
sample without urinary catheterization: ultrasound stimulation. By incorporating ultrasound
evaluation of the bladder, the UltraWee study hopes to decrease the number of failed attempts
at obtaining a urine sample in pre-continent children less than thirty-six months of age.
The UltraWee study will be a prospective randomized controlled trial comparing success rate
of and time to obtaining a urine sample in pre-continent children between standard clean
catch urine method and using ultrasound stimulation clean catch methods. The objective of
this study is to see if ultrasound stimulation increases success rate and decreases time to
micturition.
Inclusion Criteria:
- Pre-continent children
- Children between the ages of 1 month and 36 months
- Children who require a urine sample as part of their workup
- Children who are seen in the emergency department at University Hospital Downtown
Campus
Exclusion Criteria:
- Children who are continent
- Children who are in foster care or who are wards of the state
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