Enuresis: evaluation of perplexing symptom.

Area of Science:

• Pediatric Urology
• Nephrology

Background:

• Childhood enuresis presents a frequent challenge for urologists.
• Vesicoureteral reflux is a significant concern in pediatric enuresis cases.

Purpose of the Study:

• To determine the incidence of vesicoureteral reflux in children with enuresis.
• To evaluate the safety and efficacy of diagnostic methods for enuretic children.

Main Methods:

• Retrospective analysis of 182 enuretic children treated between 1970 and 1975.
• Assessment of vesicoureteral reflux incidence and correlation with urine culture results.
• Evaluation of complications associated with diagnostic procedures under general anesthesia.

Main Results:

• A 10.4% incidence of vesicoureteral reflux was observed in the studied pediatric population.
• Positive urine cultures were found in only 58% of children with reflux.
• No significant complications were reported during diagnostic evaluations performed under general anesthesia.

Conclusions:

• The findings support an aggressive diagnostic strategy for children experiencing enuresis.
• Early identification and management of vesicoureteral reflux in enuretic children are crucial.