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Correlation between sacral ratio and primary enuresis.

Parsa Yousefi1, Mohammadreza Firouzifar2, Ali Cyrus3

  • 1Department of Pediatrics, School of Medicine, Arak University of Medical Sciences, Arak, Iran.

Journal of Nephropathology
|January 30, 2014
PubMed
Summary

This study found no significant difference in sacral ratio (SR) between children with primary enuresis (PE) and those without. Further research with larger sample sizes is recommended to confirm these findings on enuresis and SR.

Keywords:
ChildEnuresisSacral abnormalitiesSacral ratio

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Area of Science:

  • Pediatric Urology
  • Radiology
  • Developmental Pediatrics

Background:

  • Enuresis, repeated involuntary urination in children aged 5+, affects many school-aged children.
  • Primary enuresis (PE) involves never achieving urinary control, while secondary enuresis indicates a loss of established control.
  • Understanding the underlying causes of PE is crucial for effective management.

Purpose of the Study:

  • To investigate a potential association between primary enuresis (PE) and the sacral ratio (SR) in children aged 5-9.
  • To determine if SR measurements differ between children with and without PE.

Main Methods:

  • A case-control study involving 118 children aged 5-9, divided into PE and control groups (59 each).
  • Sacral ratio (SR) was calculated from anteroposterior pelvic radiograms.
  • Statistical analysis included Chi-square and student t-tests.

Main Results:

  • No significant differences in age or gender were observed between the PE and control groups.
  • Mean SR was similar in both groups (0.89 in PE vs. 0.90 in controls), with no statistically significant difference (p=0.82).
  • Abnormal SR was found in 1.6% of the PE group versus 11.9% of the control group.

Conclusions:

  • The study found no significant correlation between primary enuresis and sacral ratio in children aged 5-9.
  • Larger, multicenter studies are recommended to definitively establish or refute a link between PE and SR.
  • Further research may explore other potential etiological factors for primary enuresis.