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Urethral narrowing in children can cause bladder outflow resistance, leading to enuresis. Urethrotomy and medication effectively treat these conditions, improving urodynamic results.
Area of Science:
- Pediatric Urology
- Urology
- Pediatric Surgery
Background:
- Distal urethral stenosis in girls and meatal/bulbar narrowing in boys are debated in terms of their pathological significance.
- Urethral narrowing can contribute to bladder outflow resistance, a common finding in enuretic children.
Purpose of the Study:
- To investigate the pathological value of urethral narrowing in enuretic children.
- To evaluate the effectiveness of urethrotomy and medication in managing urethral narrowing and enuresis.
Main Methods:
- Urodynamic assessment including urethral pressure profile and cystometry.
- Diagnostic procedures such as calibration with bougies à boule, urethroscopy, and permictional cystourethrography.
- Surgical intervention (urethrotomy) and pharmacological treatment (methantheline medication) were employed.
Main Results:
- Urodynamic findings frequently indicated bladder outflow resistance in enuretic children with urethral narrowing.
- Urethrotomy demonstrated good results in relation to urodynamic data.
- Methantheline medication effectively suppressed detrusor hyperactivity.
Conclusions:
- Urethral narrowing is a significant factor contributing to bladder outflow resistance and enuresis in children.
- Urethrotomy is an effective treatment for urethral narrowing, improving urodynamic parameters.
- Pharmacological management with methantheline is beneficial for addressing detrusor hyperactivity associated with enuresis.
Abstract:
Distal urethral stenosis in girls as well as meatal and bulbar narrowed urethral segments in boys are still subjects of discussion about their pathologic value in the literature. The urodynamic findings in enuretic children by urethral pressure profile and cystometry frequently point to a outflow resistance. Calibration with bougies à boule, urethroscopy and permictional cysturethrography disclose such urethral narrowing. The survey of our own 107 enuritic children shows that urethrotomy has given good results relative to urodynamic data. The effect of methantheline medications consists in suppressing the hyperactivity of the detrusor.