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Somatic correlates of functional enuresis
A von Gontard1, B Benden, K Mauer-Mucke
1Dept. of Child and Adolescent Psychiatry, University of Cologne, Köln, Germany.
European Child & Adolescent Psychiatry
|August 6, 1999
Summary
This study found significant somatic correlates in children with functional enuresis (day and/or night wetting), including bladder issues and abnormal voiding patterns. These findings have implications for classifying and treating childhood incontinence.
Area of Science:
- Pediatric Urology
- Child Psychiatry
- Clinical Diagnostics
Background:
- Functional enuresis is a complex condition with varied causes.
- Identifying non-neurologic, non-structural incontinence correlates is crucial for diagnosis.
Purpose of the Study:
- To identify specific, non-invasive somatic correlates of enuresis in child psychiatric patients.
- To differentiate subtypes of enuresis based on physiological findings.
Main Methods:
- Prospective examination of 167 children (5-10 years) with day/night wetting.
- Utilized urinalysis, ultrasonography (bladder wall, residual volume), uroflowmetry, pelvic-floor-EMG, EEG, and pediatric-neurologic exams.
Main Results:
- Day wetters showed higher rates of antibiotic prophylaxis, larger residual volumes, thicker bladder walls, abnormal uroflowmetry, and less relaxed EMG.
- Voiding postponers had more uroflow anomalies; primary nocturnal enuretics with micturition issues had less relaxed EMGs.
- 10% of children had urogenital anomalies; EEG/neurological signs did not significantly differ between groups.
Conclusions:
- Enuresis exhibits a high rate of functional somatic correlates.
- Findings support clinical and theoretical implications for enuresis classification and management.
- Non-invasive somatic assessments are valuable in pediatric enuresis evaluation.