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Related Experiment Videos

Enuresis and the voiding cystourethrogram: a re-evaluation.

S K Sujka1, M R Piedmonte, S P Greenfield

  • 1Department of Urology, State University of New York, Buffalo.

Urology
|August 1, 1991
PubMed
Summary
This summary is machine-generated.

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Nocturnal enuresis in children without urinary tract infections (UTIs) can indicate vesicoureteral reflux (VUR). A contrast voiding cystourethrogram (VCUG) is recommended for screening, as common symptoms do not reliably predict VUR presence.

Area of Science:

  • Pediatric Urology
  • Diagnostic Imaging
  • Nephrology

Background:

  • Nocturnal enuresis is a common pediatric complaint.
  • Vesicoureteral reflux (VUR) is a significant risk factor for renal scarring and recurrent urinary tract infections (UTIs).
  • Predicting VUR in children with enuresis and sterile urine is clinically important.

Purpose of the Study:

  • To evaluate the prognostic value of specific historical details in predicting vesicoureteral reflux (VUR) in children with nocturnal enuresis and no history of urinary tract infection (UTI).
  • To determine if clinical symptoms can reliably identify children requiring a contrast voiding cystourethrogram (VCUG).

Main Methods:

  • Prospective evaluation of 83 children with nocturnal enuresis and no UTI history.
  • Assessment of four historical details: primary vs. secondary enuresis, daytime wetting, urgency, and frequency.

Related Experiment Videos

  • Linear logistic regression analysis to correlate symptoms with VUR detected via VCUG.

    • Main Results:

    • Vesicoureteral reflux (VUR) was detected in 16% of patients (13/83), with varying grades (I-IV).
    • No single symptom or combination of symptoms reliably predicted the presence of VUR.
    • Renal scarring was observed in 16% of patients with VUR.

    Conclusions:

    • Clinical symptoms are not reliable predictors of VUR in children with nocturnal enuresis and sterile urine.
    • A significant proportion of children with these symptoms have VUR, underscoring the need for screening.
    • Screening with a contrast voiding cystourethrogram (VCUG) should be considered for children presenting with nocturnal enuresis and no history of UTI.