[Urodynamic evaluation in children with enuresis].
We performed an urodynamic study in enuretic children to evaluate the relationship between urodinamic findings and symptoms. We studied 175 patients, with age from 5 to 12 years, who presented with nocturnal enuresis: 45 monosymptomatic and 130 polysymptomatic (in association with urinary urgency, urge incontinence, etc.). Despite differences in symptoms, in 151 patients (86%) abnormal urodynamic findings were identified. Bladder instability was the most common disorder. However, mild abnormalities were found in the monosymptomatic patients. In treated patients urodinamic findings and clinical improvement were correlated. This study confirmed that most patients with nocturnal enuresis have cystometric abnormalities. Although possible etiologies of nocturnal enuresis are various, bladder dysfunction may be an underlying cause.
Cigna
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RM
Università di Palermo, Istituto Materno Infantile, Clinica Chirurgica Pediatrica, Via Cardinale Rampolla 1, 90142 Palermo, Italia. rosamcig@tin.it
Chiaramonte
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C
Piscopo
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A
Cataliotti
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F
D002648:Child; D002675:Child, Preschool; D004775:Enuresis / Q000175:diagnosis* / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D012720:Severity of Illness Index; D001743:Urinary Bladder / Q000503:physiopathology; D014563:Urodynamics / Q000502:physiology