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Bladder wall thickness and urodynamic correlation in children with primary nocturnal enuresis.
J Pediatr Urol. 2013 Jun; 9(3):334-8.JP

Abstract

OBJECTIVE

To investigate the correlations between ultrasonographic bladder wall thickness (BWTh) and urodynamic study (UDS) findings and estimate the diagnostic value of BWTh for prediction of DO in children with monosymptomatic and non-monosymptomatic primary nocturnal enuresis (PNE).

PATIENTS AND METHODS

Ultrasound measurements (US) and UDS were performed on a total of 100 children, 50 consecutive boys and 50 consecutive girls, 6-14 years old, with monosymptomatic PNE (group 1, n = 75), and non-monosymptomatic PNE (group 2, n = 25). The US Protocol was specially designed for the evaluation of BWTh. All children underwent urodynamic studies for detailed assessment of any underlying bladder overactivity. Findings were compared between the two groups of patients.

RESULTS

The mean BWTh was increased in the group 2 compared to the group 1 (mean ± SD = 2.4 ± 0.41 mm, mean ± SD = 1.52 ± 0.18 mm respectively, p < 0.05). Detrusor overactivity (DO) occurred in 23/75 (30.5%) children of the group 1 and in 17/25 (68%) children of the group 2 (p < 0.05). Comparing the BWTh between the two groups of patients and the UDS findings, it was found that BWTh was significantly correlated with DO(r = 0.92 and p < 0.001), children with DO presented significantly increased BWTh compared to those without (mean ± SD = 2.1 ± 0.4 mm, mean ± SD = 1.5 ± 0.4 mm respectively, p < 0.05) and the maximum amplitude of DO occurred in 20 children who had non-monosymptomatic PNE.

CONCLUSIONS

We suggest that BWTh could be applied as a screening tool to identify the cases of DO between the children with PNE. Children with non-monosymptomatic PNE presented increased BWTh and higher percentages of DO.

Authors+Show Affiliations

Urological Department, Hippokration General Hospital, Thessaloniki, Greece.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22652388

Citation

Charalampous, Stavros, et al. "Bladder Wall Thickness and Urodynamic Correlation in Children With Primary Nocturnal Enuresis." Journal of Pediatric Urology, vol. 9, no. 3, 2013, pp. 334-8.
Charalampous S, Printza N, Hashim H, et al. Bladder wall thickness and urodynamic correlation in children with primary nocturnal enuresis. J Pediatr Urol. 2013;9(3):334-8.
Charalampous, S., Printza, N., Hashim, H., Bantouraki, M., Rompis, V., Ioannidis, E., & Papacristou, F. (2013). Bladder wall thickness and urodynamic correlation in children with primary nocturnal enuresis. Journal of Pediatric Urology, 9(3), 334-8. https://doi.org/10.1016/j.jpurol.2012.04.008
Charalampous S, et al. Bladder Wall Thickness and Urodynamic Correlation in Children With Primary Nocturnal Enuresis. J Pediatr Urol. 2013;9(3):334-8. PubMed PMID: 22652388.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bladder wall thickness and urodynamic correlation in children with primary nocturnal enuresis. AU - Charalampous,Stavros, AU - Printza,Nikoleta, AU - Hashim,Hashim, AU - Bantouraki,Maria, AU - Rompis,Vassilios, AU - Ioannidis,Evagellos, AU - Papacristou,Fotios, Y1 - 2012/05/29/ PY - 2011/12/04/received PY - 2012/04/19/accepted PY - 2012/6/2/entrez PY - 2012/6/2/pubmed PY - 2014/1/10/medline SP - 334 EP - 8 JF - Journal of pediatric urology JO - J Pediatr Urol VL - 9 IS - 3 N2 - OBJECTIVE: To investigate the correlations between ultrasonographic bladder wall thickness (BWTh) and urodynamic study (UDS) findings and estimate the diagnostic value of BWTh for prediction of DO in children with monosymptomatic and non-monosymptomatic primary nocturnal enuresis (PNE). PATIENTS AND METHODS: Ultrasound measurements (US) and UDS were performed on a total of 100 children, 50 consecutive boys and 50 consecutive girls, 6-14 years old, with monosymptomatic PNE (group 1, n = 75), and non-monosymptomatic PNE (group 2, n = 25). The US Protocol was specially designed for the evaluation of BWTh. All children underwent urodynamic studies for detailed assessment of any underlying bladder overactivity. Findings were compared between the two groups of patients. RESULTS: The mean BWTh was increased in the group 2 compared to the group 1 (mean ± SD = 2.4 ± 0.41 mm, mean ± SD = 1.52 ± 0.18 mm respectively, p < 0.05). Detrusor overactivity (DO) occurred in 23/75 (30.5%) children of the group 1 and in 17/25 (68%) children of the group 2 (p < 0.05). Comparing the BWTh between the two groups of patients and the UDS findings, it was found that BWTh was significantly correlated with DO(r = 0.92 and p < 0.001), children with DO presented significantly increased BWTh compared to those without (mean ± SD = 2.1 ± 0.4 mm, mean ± SD = 1.5 ± 0.4 mm respectively, p < 0.05) and the maximum amplitude of DO occurred in 20 children who had non-monosymptomatic PNE. CONCLUSIONS: We suggest that BWTh could be applied as a screening tool to identify the cases of DO between the children with PNE. Children with non-monosymptomatic PNE presented increased BWTh and higher percentages of DO. SN - 1873-4898 UR - https://www.unboundmedicine.com/medline/citation/22652388/Bladder_wall_thickness_and_urodynamic_correlation_in_children_with_primary_nocturnal_enuresis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1477-5131(12)00101-5 DB - PRIME DP - Unbound Medicine ER -