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[Urodynamic evaluation in children with enuresis]
R M Cigna1, C Chiaramonte, A Piscopo
1Università di Palermo, Istituto Materno Infantile, Clinica Chirurgica Pediatrica, Via Cardinale Rampolla 1, 90142 Palermo, Italia. rosamcig@tin.it
Insights
Most children with nocturnal enuresis (bedwetting) show abnormal urodynamic findings, often indicating bladder dysfunction. Treatment correlating with urodynamic improvements suggests this dysfunction is a key factor.
Area of Science:
- Pediatric Urology
- Urology
- Pediatrics
Context:
- Nocturnal enuresis affects a significant number of children.
- Understanding the underlying causes of enuresis is crucial for effective treatment.
Purpose:
- To investigate the correlation between urodynamic findings and symptoms in children with nocturnal enuresis.
- To determine the prevalence of urodynamic abnormalities in enuretic children.
Summary:
- A urodynamic study was conducted on 175 children (ages 5-12) with nocturnal enuresis.
- Abnormal urodynamic findings, primarily bladder instability, were identified in 86% of patients.
- Mild abnormalities were noted in monosymptomatic cases, while treated patients showed correlation between urodynamic results and clinical improvement.
Impact:
- This study highlights bladder dysfunction as a common underlying cause of nocturnal enuresis.
- Findings support the use of urodynamic evaluation in diagnosing and managing enuretic children.
- Results suggest a link between urodynamic parameters and treatment outcomes in pediatric enuresis.
Abstract:
We performed an urodynamic study in enuretic children to evaluate the relationship between urodinamic findings and symptoms. We studied 175 patients, with age from 5 to 12 years, who presented with nocturnal enuresis: 45 monosymptomatic and 130 polysymptomatic (in association with urinary urgency, urge incontinence, etc.). Despite differences in symptoms, in 151 patients (86%) abnormal urodynamic findings were identified. Bladder instability was the most common disorder. However, mild abnormalities were found in the monosymptomatic patients. In treated patients urodinamic findings and clinical improvement were correlated. This study confirmed that most patients with nocturnal enuresis have cystometric abnormalities. Although possible etiologies of nocturnal enuresis are various, bladder dysfunction may be an underlying cause.