[The system of management nocturnal enuresis based on functional classification]
1Katedra Chirurgii Dzieciecej, Klinika Chirurgii, Traumatologii i Urologii Dzieciecej. pakroll@poczta.onet.pl
Przeglad Lekarski
|August 11, 2006
Summary
This study shows that a functional classification system effectively treats childhood enuresis (bedwetting), improving outcomes for both monosymptomatic nocturnal enuresis and enuresis with bladder dysfunction.
Area of Science:
- Pediatric Urology
- Nephrology
- Behavioral Pediatrics
Context:
- Nocturnal enuresis affects a significant number of children, impacting their quality of life.
- Current treatment approaches vary, necessitating a standardized diagnostic and therapeutic algorithm.
- Childhood enuresis is often associated with underlying bladder dysfunction, requiring tailored interventions.
Purpose:
- To describe a diagnostic and therapeutic algorithm for childhood enuresis based on functional classification.
- To evaluate the effectiveness of this classification-based treatment approach.
- To analyze treatment outcomes in children with monosymptomatic nocturnal enuresis versus those with bladder dysfunction and enuresis.
Summary:
- A review of 123 children (aged 4-18) with nocturnal enuresis was conducted, excluding those with infections or malformations.
- Children were classified into monosymptomatic nocturnal enuresis (n=21) or bladder dysfunction with enuresis (n=102) based on voiding diaries and uroflowmetry.
- Treatment involved bladder training, pharmacotherapy for dysfunction, and alarm devices, with significant improvements noted in both groups.
Impact:
- The proposed diagnostic and therapeutic system demonstrates effectiveness in managing childhood enuresis.
- This approach offers a structured method for addressing both simple and complex cases of enuresis.
- Improved bladder function and reduced enuretic episodes were observed, highlighting the system's clinical utility.
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