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Recurrent urinary infections in girls: relation to enuresis
Insights
This study found that enuretic girls often have smaller bladder capacities, suggesting enuresis may lead to urinary infections or share a common cause.
Area of Science:
- Pediatric Urology
- Nephrology
- Gynecology
Background:
- Urinary tract infections (UTIs) are common in girls.
- Enuresis (bedwetting) is a frequent concern in pediatric populations.
- The relationship between bladder capacity and UTIs/enuresis requires further clarification.
Purpose of the Study:
- To investigate the relationship between maximum bladder capacity (MBC) and urinary infections in girls.
- To determine if small bladder capacity is a cause or consequence of UTIs and enuresis.
Main Methods:
- Studied 89 girls undergoing treatment for UTIs after infection control.
- Assessed maximum bladder capacities (MBC).
- Categorized girls based on enuresis history (initial presentation and post-treatment).
Main Results:
- Enuretic girls, both initially and those remaining enuretic post-treatment, exhibited significantly smaller MBCs compared to non-enuretic girls.
- Small bladder capacities were observed even after successful UTI treatment, indicating they are not solely caused by infection.
Conclusions:
- Small bladder capacity is likely not a result of urinary infections in girls.
- Enuresis may predispose girls to developing UTIs.
- A shared underlying pathology could be responsible for both enuresis and UTIs in girls.
Abstract:
Maximum bladder capacities (MBC) have been studied in 89 girls receiving treatment for urinary infections at a time when the infection had been controlled. Fifty-six of the girls had been enuretic when first seen, 40 remained enuretic even when the infection had been cured. The MBC's of the enuretic children were significantly smaller than those who were not or had not been enuretic. The enuresis and small bladder capacities were therefore not usually due to the urinary infection. It is concluded that in girls either enuresis predisposes towards the development of urinary infections, or that a common underlying pathology predisposes to both entities.