title: Urodynamic disorders and renal scarring in pediatric patients with nonmonosymptomatic nocturnal enuresis.
abstract: OBJECTIVE
  In nonmonosymptomatic nocturnal enuresis (NMNE), the incidence of organic abnormality and urodynamic disorder is more frequent than the general population. The aim of this study is to identify urodynamic disorders and renal scarring in children with NMNE.
  
  
  METHODS
  This study evaluated the urodynamic disorders and renal scarring of a total of 30 patients who were diagnosed with NMNE. A video-urodynamic test and Tc-99m dimercaptosuccinic acid renal scintigraphy were applied.
  
  
  RESULTS
  Records of 605 patients who had been diagnosed with enuresis were analyzed, and 215 (33.5%) of them had been diagnosed with NMNE. Thirty patients older than 6 years old with NMNE were included in the study. Detrusor overactivity was identified in 10 patients. Bladder capacity was low in 5 patients and bladder compliance was low in 2 patients. Renal scarring was identified in 1 patient. Unilateral vesicoureteral reflux was found in 4 patients.
  
  
  CONCLUSIONS
  Bladder function disorder is also a significant risk factor for the development of renal scarring, besides other risk factors. Organic abnormalities are seen more often in patients with NMNE than patients with monosymptomatic nocturnal enuresis, so urodynamic studies should be remembered for patients with NMNE.
authors.forename: Orkun
authors.initials: O
authors.lastname: Tolunay
authors.forename: Necla
authors.initials: N
authors.lastname: Buyan
authors.forename: Mustafa Özgür
authors.initials: MÖ
authors.lastname: Tan
authors.forename: Hüsnü Oğuz
authors.initials: HO
authors.lastname: Söylemezoğlu
authors.forename: Hatice Kibriya
authors.initials: HK
authors.lastname: Fidan
authors.forename: Sevcan Azime
authors.initials: SA
authors.lastname: Bakkaloğlu Ezgü
mesh_terms: D002648:Child; D002921:Cicatrix / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology; D005260:Female; D006801:Humans; D007668:Kidney / Q000473:pathology / Q000503:physiopathology; D008297:Male; D053206:Nocturnal Enuresis / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D011877:Radionuclide Imaging / Q000379:methods*; D019275:Radiopharmaceuticals; D012307:Risk Factors; D019783:Technetium Tc 99m Dimercaptosuccinic Acid; D001745:Urinary Bladder Diseases / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D014563:Urodynamics
chemical_list: D019275:Radiopharmaceuticals; D019783:Technetium Tc 99m Dimercaptosuccinic Acid