Adult Manifestation of Lower Urinary Tract Dysfunction as Daytime Urinary Incontinence and Nocturnal Enuresis in a
Taiju Hyuga1, Koki Sugimura1, Kimihiko Moriya1
1Department of Pediatric Urology Jichi Medical University, Children's Medical Center Tochigi Shimotsuke Japan.
Introduction:
Generally, lower urinary tract function is considered to show few changes in adulthood for cases of spina bifida.
Case Presentation:
The case involved a 33-year-old man with a primary diagnosis of spinal lipoma. Urological management by spontaneous voiding was maintained, and uroflowmetry at 23 years old showed a maximum flow rate of 9.6 mL/s and a residual urine volume of 35 mL; then urological follow-up was ended. The patient developed nocturnal enuresis and daytime urinary incontinence. Residual urine was exceeding 500 mL. Bladder deformity was identified on VCUG. UDS showed a high storage pressure with compliance of 5.0 mL/cmH2O. CIC management was introduced, and vibegron was initiated. After that, the urinary symptoms were resolved immediately. On video-UDS, bladder deformity and compliance had improved.
Conclusion:
Patients managed by spontaneous voiding should be carefully evaluated for atypical UDS findings to decide whether urological follow-up can be considered complete.
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