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Primary enuresis: a urodynamic evaluation

R Medel1, A C Ruarte, R Castera

  • 1Urologic Unit Ricardo Gutiérrez Children's Hospital, Buenos Aires, Argentina.

British Journal of Urology
|June 20, 1998
PubMed
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Primary enuresis type and bladder capacity indicate bladder dysfunction. Complicated primary enuresis (CPE) shows higher detrusor instability rates than monosymptomatic primary enuresis (MPE).

Area of Science:

  • Pediatric Urology
  • Urodynamics
  • Child Health

Background:

  • Primary enuresis, including monosymptomatic (MPE) and complicated (CPE) forms, affects children.
  • Detrusor instability is a potential factor in primary enuresis.
  • Identifying prognostic indicators is crucial for effective management.

Purpose of the Study:

  • To evaluate urodynamic and clinical data for prognostic indicators of detrusor instability in primary enuresis.
  • To compare the prevalence of detrusor instability between MPE and CPE.
  • To determine if enuresis type and bladder capacity predict bladder dysfunction.

Main Methods:

  • Retrospective review of 33 MPE and 47 CPE patients (ages 5-14).
  • Urodynamic studies including cystometry to assess detrusor activity and bladder compliance.

Related Experiment Videos

  • Comparison of urodynamic findings based on enuresis classification.

    • Main Results:

    • Detrusor instability was found in 49% of MPE patients and 79% of CPE patients.
    • Low bladder compliance was observed in one MPE and two CPE patients.
    • Stable bladders were noted in 51% of MPE and 21% of CPE patients.

    Conclusions:

    • The type of primary enuresis is a significant indicator of bladder dysfunction.
    • Maximum cystometric bladder capacity is a valuable prognostic marker for detrusor instability.
    • CPE patients exhibit a higher likelihood of detrusor instability compared to MPE patients.