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Persistent primary enuresis: a urodynamic assessment.

C G Whiteside, E P Arnold

    British Medical Journal
    |February 15, 1975
    PubMed
    Summary
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    This study on persistent primary enuresis found distinct types: nocturnal enuresis with normal bladder function and diurnal enuresis with abnormal bladder function, suggesting they develop independently.

    Area of Science:

    • Urology
    • Pediatric Urology
    • Nephrology

    Background:

    • Persistent primary enuresis is a common condition requiring investigation.
    • Understanding the underlying urodynamic factors is crucial for effective management.
    • Previous research suggests varying causes for nocturnal and diurnal enuresis.

    Purpose of the Study:

    • To investigate the urodynamic characteristics of patients with persistent primary enuresis.
    • To differentiate between nocturnal enuresis and combined nocturnal/diurnal enuresis based on bladder function.
    • To explore the distinct origins and potential overlap of these enuresis types.

    Main Methods:

    • Utilized videocystourethrography (VCUG) combined with synchronous pressure and flow-rate recordings.
    • Conducted urodynamic studies on a cohort of 50 patients referred for enuresis investigation.

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  • Analyzed detrusor function in relation to enuresis patterns (nocturnal vs. nocturnal/diurnal).

    • Main Results:

    • Nocturnal enuresis was predominantly associated with normal detrusor function.
    • Nocturnal plus diurnal enuresis was mainly linked to abnormal detrusor function.
    • Evidence suggests these two enuresis types arise de novo and do not overlap.

    Conclusions:

    • Persistent primary enuresis can be categorized into distinct urodynamic subtypes.
    • Normal detrusor function characterizes isolated nocturnal enuresis.
    • Abnormal detrusor function is characteristic of combined nocturnal and diurnal enuresis, indicating separate etiologies.