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Overactive bladder in children should be strictly differentiated from monosymptomatic nocturnal enuresis.
Urol Int. 2008; 80(1):57-61.UI

Abstract

INTRODUCTION

To elucidate the prevalence of concomitant overactive bladder in children with a chief compliant of primary enuresis, and to evaluate the pathogenetic difference between monosymptomatic and non-monosymptomatic enuresis.

MATERIALS AND METHODS

All patients had evidence of primary enuresis. Neurogenic bladder was excluded. Urinary symptoms were evaluated by taking a history from the affected children and parents, and using a questionnaire and bladder diary. Voiding cystourethrography was performed for non-responders to exclude urinary abnormalities.

RESULTS

Eighty-eight patients (9.8 +/- 3.1 years old) were enrolled. Initial assessment demonstrated that 24% had undervalued overactive bladders and 9% had constipation. Voiding cystourethrography was performed in 25%, demonstrating mechanical urethral obstructions in 8% and vesicoureteral reflux in 4.5%. Constipation, a history of urinary tract infections, mechanical obstructions and vesicoureteral reflux were strongly associated with non-monosymptomatic enuresis.

CONCLUSIONS

Patients with non-monosymptomatic enuresis had a different clinical background, therapeutic response and pathogenetic abnormalities. In children an overactive bladder should be strictly differentiated from monosymptomatic enuresis.

Authors+Show Affiliations

Department of Urology, Division of Frontier Medical Science, Programs for Biomedical Research, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan. urokajiwara@yahoo.co.jpNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18204235

Citation

Kajiwara, Mitsuru, et al. "Overactive Bladder in Children Should Be Strictly Differentiated From Monosymptomatic Nocturnal Enuresis." Urologia Internationalis, vol. 80, no. 1, 2008, pp. 57-61.
Kajiwara M, Kato M, Mutaguchi K, et al. Overactive bladder in children should be strictly differentiated from monosymptomatic nocturnal enuresis. Urol Int. 2008;80(1):57-61.
Kajiwara, M., Kato, M., Mutaguchi, K., & Usui, T. (2008). Overactive bladder in children should be strictly differentiated from monosymptomatic nocturnal enuresis. Urologia Internationalis, 80(1), 57-61. https://doi.org/10.1159/000111731
Kajiwara M, et al. Overactive Bladder in Children Should Be Strictly Differentiated From Monosymptomatic Nocturnal Enuresis. Urol Int. 2008;80(1):57-61. PubMed PMID: 18204235.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Overactive bladder in children should be strictly differentiated from monosymptomatic nocturnal enuresis. AU - Kajiwara,Mitsuru, AU - Kato,Masao, AU - Mutaguchi,Kazuaki, AU - Usui,Tsuguru, Y1 - 2008/01/18/ PY - 2006/10/18/received PY - 2006/11/16/accepted PY - 2008/1/22/pubmed PY - 2008/6/5/medline PY - 2008/1/22/entrez SP - 57 EP - 61 JF - Urologia internationalis JO - Urol Int VL - 80 IS - 1 N2 - INTRODUCTION: To elucidate the prevalence of concomitant overactive bladder in children with a chief compliant of primary enuresis, and to evaluate the pathogenetic difference between monosymptomatic and non-monosymptomatic enuresis. MATERIALS AND METHODS: All patients had evidence of primary enuresis. Neurogenic bladder was excluded. Urinary symptoms were evaluated by taking a history from the affected children and parents, and using a questionnaire and bladder diary. Voiding cystourethrography was performed for non-responders to exclude urinary abnormalities. RESULTS: Eighty-eight patients (9.8 +/- 3.1 years old) were enrolled. Initial assessment demonstrated that 24% had undervalued overactive bladders and 9% had constipation. Voiding cystourethrography was performed in 25%, demonstrating mechanical urethral obstructions in 8% and vesicoureteral reflux in 4.5%. Constipation, a history of urinary tract infections, mechanical obstructions and vesicoureteral reflux were strongly associated with non-monosymptomatic enuresis. CONCLUSIONS: Patients with non-monosymptomatic enuresis had a different clinical background, therapeutic response and pathogenetic abnormalities. In children an overactive bladder should be strictly differentiated from monosymptomatic enuresis. SN - 1423-0399 UR - https://www.unboundmedicine.com/medline/citation/18204235/Overactive_bladder_in_children_should_be_strictly_differentiated_from_monosymptomatic_nocturnal_enuresis_ L2 - https://www.karger.com?DOI=10.1159/000111731 DB - PRIME DP - Unbound Medicine ER -