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Published on: August 14, 2019
Videourodynamic assessment of diurnal urinary incontinence
Insights
Persistent daytime incontinence in children often indicates an underlying issue. Videourodynamic studies revealed abnormalities in over 90% of cases, highlighting the need for thorough assessment.
Area of Science:
- Pediatric Urology
- Urodynamics
- Child Health
Background:
- Persistent daytime incontinence is an uncommon yet significant pediatric concern.
- Many children with this issue do not respond to initial conservative treatments.
Purpose of the Study:
- To investigate the urodynamic findings in children with persistent daytime incontinence without neurological signs.
- To identify the prevalence of specific lower urinary tract dysfunctions in this cohort.
Main Methods:
- Videourodynamic studies were conducted on 215 children.
- Participants had persistent daytime incontinence and no neurological deficits.
- Children had previously failed conservative management strategies.
Main Results:
- Over 90% of the studied children exhibited urodynamic abnormalities.
- Detrusor instability was identified in more than half of the symptomatic children.
- A wide bladder neck anomaly was present in approximately 20% of cases.
Conclusions:
- Videourodynamics is crucial for diagnosing the cause of persistent daytime incontinence in children.
- Identifying abnormalities like detrusor instability and wide bladder neck anomaly allows for targeted treatment.
- Comprehensive assessment can lead to successful management for many affected children.
Abstract:
Persistent daytime incontinence is a fairly uncommon but important problem. Videourodynamic studies were carried out in 215 children presenting with this problem in whom there were no neurological signs and who had not responded to simple measures. Over 90% of symptomatic children were shown to have an abnormality, of which over half had detrusor instability and a fifth had the wide bladder neck anomaly. We consider that it is important that these children are fully assessed as many can be helped.
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