Evaluation of a new frequency-volume chart for children with primary monosymptomatic nocturnal enuresis: a

Jing-Jing Wang1, Dong-Jie Wang1, Hai-Dong Fu1

  • 1Department of Nephrology, TChildren's Hospital of Zhejiang University School of Medicine, National Clinical Research Center of Child Health, Hangzhou, China.

Insights

A modified 3-day weekend frequency-volume chart (FVC) improved compliance and data quality for tracking primary monosymptomatic nocturnal enuresis (PMNE) in children compared to standard diaries.

Area of Science:

  • Pediatric Urology
  • Continence Management

Background:

  • Primary monosymptomatic nocturnal enuresis (PMNE) affects many children.
  • Compliance with traditional voiding diaries can be a challenge.
  • A modified 3-day weekend frequency-volume chart (FVC) was developed to enhance patient adherence.

Purpose of the Study:

  • To evaluate the compliance and validity of a new modified FVC.
  • To compare the modified FVC with the International Children's Continence Society (ICCS) recommended voiding diary.

Main Methods:

  • 1200 children with PMNE were randomized to use either the modified FVC or the ICCS diary.
  • Compliance was assessed via completing index and quality scores.
  • Validity was evaluated by comparing subtype classification, micturition parameters, and desmopressin response rates.

Main Results:

  • The modified FVC group showed significantly better diurnal completing index and quality scores.
  • No significant differences were observed in subtype classification or desmopressin response rates between the groups.
  • 469 patients completed the modified FVC, while 447 completed the ICCS diary.

Conclusions:

  • The modified FVC is a valid tool for assessing voiding characteristics in children with PMNE.
  • It offers a comparable and potentially superior alternative to the ICCS-recommended diary.
  • This modified chart presents a practical option for future clinical use in unselected pediatric populations.
Abstract

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