Role of Urodynamic Study in Nocturnal Enuresis: Urodynamic Findings and Treatment Outcome Correlation in Children with Pharmacotherapy-resistant Monosymptomatic Nocturnal Enuresis or Severe Non-monosymptomatic Nocturnal Enuresis
- Authors
- Ryu, DS[Ryu, Dong Soo]; Lee, HW[Lee, Hye Won]; Kwak, KW[Kwak, Kyung Won]; Park, KH[Park, Kwan Hyun]; Baek, M[Baek, Minki]
- Issue Date
- May-2014
- Publisher
- WILEY-BLACKWELL
- Keywords
- nocturnal enuresis; pediatrics; cholinergic antagonists; urinary incontinence; urodynamics
- Citation
- LUTS-LOWER URINARY TRACT SYMPTOMS, v.6, no.2, pp.88 - 93
- Indexed
- SCIE
SCOPUS
- Journal Title
- LUTS-LOWER URINARY TRACT SYMPTOMS
- Volume
- 6
- Number
- 2
- Start Page
- 88
- End Page
- 93
- URI
- https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/53184
- DOI
- 10.1111/luts.12024
- ISSN
- 1757-5664
- Abstract
- Objectives This study aimed to determine whether or not a urodynamic study (UDS) is beneficial for management of pediatric nocturnal enuresis (NE), especially in pharmacoresistant monosymptomatic nocturnal enuresis (PRMNE) or severe non-monosymptomatic nocturnal enuresis (NMNE) patients. Methods Children with PRMNE or severe NMNE who underwent a UDS for the process of NE treatment were retrospectively reviewed. The UDS findings of patients and treatment outcomes of subsequent tailored therapies according to the UDS findings were analyzed. Results A total of 80 children (50 boys and 30 girls, mean age 8.4 +/- 2.2 years), 19 of which were diagnosed with PRMNE and 61 of which were diagnosed with NMNE, were included in the final analysis. Of the 19 PRMNE children, 12 (63.2%) demonstrated abnormal UDS findings. Ten demonstrated detrusor overactivity (DO) with or without decreased cystometric bladder capacity (CBC); the treatment outcomes markedly improved in all of the children after anticholinergics were added to the initial desmopressin therapy. Biofeedback was found to be helpful for two children with detrusor-sphincter dyssynergia. All of the total 61 children with NMNE demonstrated abnormal urodynamic findings of DO with or without decreased CBC, and 42 (68.9%) achieved more than partial response (> 50% decrease in the number of wet nights) when given a combination therapy of anticholinergics and desmopressin. Conclusions The urodynamic findings were helpful for guiding children with PRMNE in the proper choice of further treatment strategies. A routine UDS should not be recommended prior to a first-line combination treatment in children with NMNE.
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Collections - Medicine > Department of Medicine > 1. Journal Articles
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