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[Routine urodynamic studies is not indicated in children with enuresis]

R J Scholtmeijer1, J M Nijman

  • 1Academisch Ziekenhuis Rotterdam-Sophia Kinderziekenhuis, afd. Kinderurologie.

Nederlands Tijdschrift Voor Geneeskunde
|April 17, 1993
PubMed
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Urodynamic studies in 339 children revealed detrusor instability in 44% and reduced bladder capacity in 73%. Routine urodynamic examinations are not recommended for diagnosing childhood enuresis.

Area of Science:

  • Pediatric Urology
  • Urodynamics
  • Childhood Incontinence

Context:

  • Investigated urodynamic findings in 339 children with enuresis.
  • Excluded cases with constipation, anatomical, or neurogenic incontinence causes.
  • Analyzed data from January 1980 to January 1992.

Purpose:

  • To evaluate the utility of urodynamic examinations in children with enuresis.
  • To identify common urodynamic abnormalities in this patient group.

Summary:

  • Detrusor (bladder muscle) instability was observed in 44% of children.
  • Reduced functional bladder capacity (<15% reduction) was found in 73%.
  • Infravesical obstruction and dysfunctional voiding were noted in 5% and 12% respectively.

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Impact:

  • Findings suggest routine urodynamic studies are not indicated for enuretic children.
  • Highlights the prevalence of detrusor instability and reduced bladder capacity.
  • Informs clinical practice regarding the diagnostic approach to childhood enuresis.