Related Experiment Videos
Modification of therapy based on videourodynamics in neurologically normal children: Southampton 1988-1993
T Porter1, N Weerasinghe, P S Malone
1Department of Paediatric Urology, Wessex Centre for Paediatric Surgery, Southampton General Hospital, UK.
Insights
This study found that 77% of enuretic children achieved dryness after videourodynamics and tailored treatment. This approach improves outcomes for childhood enuresis, avoiding prolonged inappropriate therapies.
Area of Science:
- Pediatric Urology
- Urodynamics
- Childhood Enuresis Management
Background:
- Many children with enuresis undergo prolonged medical follow-up without improvement.
- Accurate diagnosis is crucial for effective enuresis treatment.
Purpose of the Study:
- To assess the long-term outcomes of enuretic children previously diagnosed with videourodynamics.
- To evaluate the appropriateness and efficacy of treatment strategies based on urodynamic findings.
Main Methods:
- Follow-up of 57 neurologically normal enuretic children (mean age 10 years) for a mean of 19 months.
- Diagnosis established using videourodynamics.
- Therapeutic strategies were tailored to individual urodynamic diagnoses.
Main Results:
- 77% of patients (44 out of 57) are now completely or very nearly dry.
- Significant improvement in enuresis symptoms was observed post-intervention.
Conclusions:
- Videourodynamics, despite being invasive, provides essential diagnostic information for enuresis.
- Treatment guided by urodynamic data leads to good outcomes and prevents inappropriate long-term therapies.
- Ambulatory urodynamic studies may offer further valuable insights.
Objective:
To follow up a previously investigated group of enuretic children to assess their current situation and to determine if their previous treatment was appropriate.
Patients And Methods:
A group of 57 neurologically normal, enuretic children (mean age 10 years) were followed for a mean of 19 months (range 3-54) after the establishment of a working diagnosis with videourodynamics. Many of these children had previously been under medical follow-up for long periods with no change in their enuresis. Depending on the urodynamic diagnosis, a therapeutic strategy was instigated and continued for an appropriate duration. Normal children were simply reassured.
Results:
Currently, 44 patients (77%) are completely or very nearly dry.
Conclusion:
Videourodynamics, although a traumatic procedure, provides information unobtainable from other sources. Treatment based on this information gives good results and may prevent years of unnecessary or inappropriate therapy, and psychological problems. Ambulatory studies may yield more useful information.