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Abdomino-Pelvic Ultrasound Evaluation in Monosymptomatic Primary Nocturnal Enuresis

Emad E Ghobrial1,2, Nevin M Fawzi1, Maha F Shiba1

  • 1Department of Pediatrics, Kasr Al Ainy School of Medicine, Cairo University, Cairo, Egypt.

Clinical Pediatrics
|July 20, 2022
PubMed

Insights

Renal bladder ultrasound (RBUS) is not necessary for children with primary monosymptomatic nocturnal enuresis (PMNE). While some abnormalities were found, they were not statistically significant compared to controls.

Area of Science:

  • Pediatric Urology
  • Diagnostic Imaging

Background:

  • Nocturnal enuresis is a common childhood issue.
  • Urological abnormalities can contribute to enuresis.

Purpose of the Study:

  • To evaluate the utility of renal bladder ultrasound (RBUS) in diagnosing urological abnormalities in children with primary monosymptomatic nocturnal enuresis (PMNE).
  • To compare RBUS findings in children with PMNE to a control group of continent children.

Main Methods:

  • The study included 30 children diagnosed with PMNE and 30 age- and sex-matched healthy controls.
  • Both groups underwent urinalysis, serum creatinine testing, and RBUS.

Main Results:

  • Ultrasonography revealed abnormalities in 10% of the PMNE group, a rate not significantly different from the control group (p = 1.000).
  • Although abnormalities were more frequent in the PMNE group, the difference lacked statistical significance.

Conclusions:

  • RBUS is not routinely indicated for children with PMNE as discovered abnormalities are not statistically significant and do not necessitate invasive procedures.
  • Children with sonographic abnormalities may exhibit increased resistance to treatment, suggesting RBUS might be beneficial for treatment-resistant cases.
Abstract

Keywords:
primary nocturnal enuresisultrasound

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