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Related Experiment Videos

[Enuresis and urinary pathology].

C Miguélez Lago1, S Gomezese Ribero, M García Mérida

  • 1Servicio de Cirugía Pediátrica, Hospital Materno-Infantil, Málaga.

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|July 1, 1990
PubMed
Summary

Urinary pathology is found in 18.3% of pediatric primary nocturnal enuresis cases. Urological studies are recommended only when clinical history suggests potential uropathy in children with bedwetting.

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Area of Science:

  • Pediatric Urology
  • Nephrology
  • Clinical Diagnostics

Context:

  • Primary nocturnal enuresis affects a significant number of children.
  • Evaluating urinary pathology in enuretic children is crucial for appropriate management.
  • Clinical history and anamnesis play a key role in identifying at-risk patients.

Purpose:

  • To determine the incidence of urinary pathology in pediatric primary nocturnal enuresis.
  • To assess the correlation between clinical suspicion of uropathy and actual pathology.
  • To establish guidelines for the judicious use of urological investigations.

Summary:

  • This study analyzed 71 pediatric cases of primary nocturnal enuresis.
  • Overall urinary pathology incidence was 18.3%.

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  • Incidence rose to 62.5% in children with suspicious uropathy history, versus 5.4% with negative history, highlighting the importance of clinical evaluation.

    • Impact:

    • Recommends urological studies (ultrasound, XR) selectively for enuretic children with suspected uropathy.
    • Aims to reduce unnecessary investigations and associated costs.
    • Emphasizes the value of detailed clinical assessment in pediatric urology.