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[Enuresis in children. Diagnostic assessment and treatment]
Insights
Primary nocturnal enuresis in children often co-occurs with voiding dysfunction. Urodynamic assessment helps guide treatment, with anticholinergic medication effective for those with dysfunction.
Area of Science:
- Pediatric Urology
- Child Psychology
Context:
- Enuresis etiology theories include psychogenic, structural, and dysfunctional aspects.
- Study involved 95 children diagnosed with primary enuresis.
Purpose:
- To investigate the role of urodynamic assessment in diagnosing and treating primary nocturnal enuresis.
- To evaluate treatment outcomes based on urodynamic findings.
Summary:
- 58% of children with primary enuresis showed evidence of voiding dysfunction.
- 17% had pure nocturnal enuresis, and 42% had normal bladder urodynamic testing.
- Anticholinergic medication proved effective for enuresis with voiding dysfunction.
Impact:
- Highlights the importance of urodynamic assessment in primary nocturnal enuresis management.
- Suggests tailored treatment approaches based on urodynamic results improve outcomes.
Abstract:
Many theories on the etiology of enuresis have been suggested, including psychogenic, structural abnormalities, dysfunctional aspects. The study consisted of 95 children with primary enuresis (35 girls, 60 boys). 58% of patients presented with enuresis plus evidence of voiding dysfunction. Patients with pure nocturnal enuresis were 17%. 42% of children have normal bladder on urodynamic testing. Anticholinergic medication was effective in children with voiding dysfunction. The base line treatment program, in children with normal urodynamic studies, included psychotherapy, medications, bladder training. Authors present their experience and results of treatment. The usefulness of urodynamic assessment in children with only nocturnal enuresis is discussed.