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Related Experiment Videos

Lower urinary tract problems in patients with enuresis

H Shima1, Y Mori, M Nojima

  • 1Department of Urology, Hyogo College of Medicine, Nishinomiya, Japan. uro-hito@hyo-med.ac.jp

European Urology
|May 26, 1998
PubMed
Summary

Surgical correction of subclinical lower urinary tract obstruction improved bed-wetting in children. This study evaluated surgical outcomes for nocturnal enuresis, showing significant resolution rates.

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Area of Science:

  • Pediatric Urology
  • Urology
  • Pediatrics

Background:

  • Nocturnal enuresis affects a significant number of children.
  • Identifying and treating lower urinary tract problems is crucial for managing enuresis.

Purpose of the Study:

  • To evaluate the effectiveness of surgical correction for subclinical lower urinary tract obstruction in children with enuresis.
  • To assess the impact of surgery on resolving bed-wetting.

Main Methods:

  • Retrospective study of 238 children with nocturnal enuresis.
  • Diagnostic tools included micturating cystourethrography (MCU) and urodynamic studies.
  • Surgical interventions included optic internal urethrotomy and meatoplasty for urethral ring stenosis.

Main Results:

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  • Nocturnal enuresis was diagnosed in 153 children; 67 had both nocturnal and diurnal enuresis.
  • MCU revealed vesicoureteral reflux (30), urethral ring stenosis (42), and posterior urethral valve (3).
  • Surgery resulted in a 73.8% improvement in bed-wetting for 42 treated children.

Conclusions:

  • Surgical correction of subclinical lower urinary tract obstruction can aid in the resolution of nocturnal and diurnal enuresis.
  • Early surgical intervention may be beneficial for children experiencing persistent bed-wetting.