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[Infantile enuresis: epidemiologic, clinical, urodynamic, and radiologic data of a consecutive series of 100 cases]
J Salinas Casado1, M Esteban Fuertes, M Virseda Chamorro
1Cátedra y Servicio de Urología, Hospital Universitario San Carlos, Universidad Complutense, Madrid, España.
Insights
This study on 100 children with nocturnal enuresis found detrusor instability and uncoordinated voiding were common, especially in older boys. A new diagnostic and treatment strategy is proposed.
Area of Science:
- Pediatric Urology
- Clinical Research
Background:
- Nocturnal enuresis affects children across various age groups.
- Understanding the underlying causes and associated conditions is crucial for effective management.
Purpose of the Study:
- To analyze epidemiological, clinical, urodynamic, and cystographic data in 100 children with nocturnal enuresis.
- To propose a diagnostic and prognostic system and a therapeutic strategy.
Main Methods:
- Retrospective analysis of 100 consecutive patients with nocturnal enuresis.
- Patients categorized into three age groups (4-7, 8-11, 12-14 years).
- Data collected included clinical history, urodynamics, and cystography.
Main Results:
- Nocturnal enuresis was most frequent in the 8-11 year group (51%) and males (51%).
- Detrusor instability (40%) and uncoordinated voiding (24%) were the most common urodynamic findings, prevalent in older children and girls.
- Urinary infection (16%), neurogenic bladder (16%), and vesicoureteral reflux (18%) were also observed.
Conclusions:
- Detrusor instability and uncoordinated voiding are significant findings in pediatric nocturnal enuresis.
- The study proposes a novel system for diagnosis, prognosis, and treatment tailored to patient data.
Abstract:
The present paper reports the epidemiological, clinical, urodynamic and cystographic data of 100 consecutive patients (mean age 9.59 years) with nocturnal enuresis. These patients were divided into three groups: group I (4 to 7 years old), 23 patients; group II (8 to 11 years old), 51 patients; and group III (12 to 14 years old), 26 patients. Nocturnal enuresis was more frequent in group II (51%). It was more prevalent in males (51%) of groups I and II. Isolated nocturnal enuresis was more frequent (54%) than nocturnal enuresis associated with diurnal symptoms (46%) in all age groups. Urinary infection was observed in 16% and was more prevalent in girls (68.7%). Detrusor instability was the most common urodynamic finding (40%), particularly in group II and girls. Uncoordinated voiding was the second most common urodynamic finding (24%), particularly in group II and girls. Lower urinary tract infection was observed in 1% (males). No abnormal urodynamic data were observed in 19%. Neurogenic bladder was observed in 16%, mainly in group II (31%). Vesicoureteral reflux was detected in 18%, mainly in girls (66.6%) and a postvoiding residual urine in 10%. A diagnostic and prognostic system and a therapeutic strategy based on our data are proposed.