Our approach to primary enuresis in children.
In 150 children with enuresis following protocol was applied: a detailed questionnaire, a voiding chart, clinical examination, ultrasound of the kidneys, and uroflow. A tentative treatment based on the flowchart shown in the paper is installed. If after 4-5 weeks no amelioration is observed observation is completed by a urodynamical examination and a permictional urethocystography and the treatment adapted to the results. On this bases each enuresis case could be categorized in one of 4 groups with typical clinical and urodynamical characteristics requiring a specific treatment. The study shows that by an appropriate selective treatment including physical and psychological training and medication nearly all children can get dry.
A.Z. Service d'urologie, Leuven, Belgique.
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Vereecken
D002648:Child; D004775:Enuresis / Q000145:classification / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D010808:Physical Examination; D011795:Surveys and Questionnaires; D014463:Ultrasonography; D014563:Urodynamics