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[Routine urodynamic studies is not indicated in children with enuresis]
1Academisch Ziekenhuis Rotterdam-Sophia Kinderziekenhuis, afd. Kinderurologie.
Nederlands Tijdschrift Voor Geneeskunde
|April 17, 1993
Summary
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.
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.