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Radiographic findings in children surveyed for enuresis
Insights
A study found 27% of children evaluated for enuresis (bedwetting) had urinary tract abnormalities. Some required surgery, with differences noted between diurnal and nocturnal enuresis cases.
Area of Science:
- Pediatric Urology
- Diagnostic Imaging
- Clinical Pediatrics
Background:
- Enuresis, or bedwetting, is a common pediatric concern.
- Urinary tract infections (UTIs) can be associated with enuresis.
- Radiographic evaluation is often used to investigate urinary tract issues in children.
Purpose of the Study:
- To evaluate the prevalence of urinary tract abnormalities in children presenting with enuresis.
- To assess the need for surgical intervention based on radiographic findings.
- To compare findings in children with diurnal enuresis, nocturnal enuresis, and a history of UTIs.
Main Methods:
- A retrospective review of 216 children undergoing urinary tract radiographic surveys over one year.
- Analysis of clinical correlation for a subset of 135 children.
- Categorization of enuresis types (diurnal, nocturnal) and presence of prior UTIs.
Main Results:
- Significant urinary tract abnormalities were identified in 27% of the evaluated children.
- 19.3% of children with clinical correlation required surgical management.
- Distinct differences in presentation and findings were observed between children with diurnal enuresis/UTIs and those with nocturnal enuresis alone.
Conclusions:
- Radiographic evaluation is crucial for identifying significant urinary tract abnormalities in children with enuresis.
- A notable proportion of these children may require surgical intervention.
- The type of enuresis and history of UTIs are important factors influencing diagnostic findings.
Abstract:
Over a one-year period 216 children had a radiographic survey of their urinary tracts performed for the evaluation of enuresis with many of these having a precedent history of urinary infection as well. Significant urinary tract abnormalities were found in 27 per cent of the children. Clinical correlation was obtained in 135 of these children with 19.3 per cent requiring surgery. The groups of children with a history of diurnal enuresis or urinary infection were quite different from the group with nocturnal enuresis alone. These differences are discussed.