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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

La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|December 24, 2002
PubMed
Summary

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.

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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.

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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.