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Related Experiment Videos

Urodynamics in enuretic children.

M J van der Vis-Melsen1

  • 1Department of Nuclear Medicine, Spaarne Ziekenhuis, Haarlem, The Netherlands.

Clinical Nuclear Medicine
|March 1, 1992
PubMed
Summary

A noninvasive radionuclide renography effectively screens children for urinary tract issues causing enuresis. This method identified abnormalities in 30% of pediatric patients, aiding in diagnosis.

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Area of Science:

  • Pediatric Urology
  • Diagnostic Imaging
  • Nephrology

Background:

  • Enuresis (bedwetting) in children often lacks an organic cause, but identifying genitourinary anomalies is crucial.
  • A simple, noninvasive screening method is preferred for evaluating children with enuresis.
  • Standard diagnostic approaches may not always be sufficient for comprehensive urinary tract assessment.

Purpose of the Study:

  • To evaluate the utility of extended radionuclide renography as a noninvasive screening tool for both upper and lower urinary tract function in children with enuresis.
  • To compare the effectiveness of this extended renography method with conventional direct urine flow rate recording.

Main Methods:

  • The study involved 124 children diagnosed with enuresis.
  • An extended radionuclide renography protocol was employed to assess upper and lower urinary tract function simultaneously.
  • Data on identified abnormalities were collected and analyzed.

Main Results:

  • Abnormalities potentially related to enuresis were identified in 30% of the pediatric cohort.
  • Upper urinary tract anomalies were detected in 5% of children.
  • Combined upper and lower urinary tract anomalies were found in 9.6% of patients.
  • Functional voiding disturbances were identified in 16% of the children.

Conclusions:

  • Extended radionuclide renography is a valuable, noninvasive screening method for evaluating urinary tract function in children with enuresis.
  • This technique is comparable to conventional methods and identifies a significant percentage of underlying abnormalities.
  • The findings support the use of extended radionuclide renography for a more comprehensive assessment of pediatric enuresis.

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