Clinical diagnosis of bladder dysfunction in enuretic children and adolescents

Abstract

The presence of diurnal voiding symptoms was a strong predictor of bladder dysfunction. Medical history was a useful instrument for detecting diurnal voiding symptoms and establishing the diagnosis of bladder dysfunction.

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

“…16 However, in a cross-sectional study where all of the patients had been referred from other hospitals, Fonseca and Monteiro reported bladder dysfunction in 94.5% of children and teenagers with enuresis, 97.3% of whom had diurnal voiding symptoms. 22 Similarly, in previous research our results indicated that percentages of NMNE were 89.8 and 68.5% based on the questionnaire and the bladder diary, respectively. 23 Therefore, some studies suggest that a more sophisticated radiological or urological method should be performed in children with daytime wetting and clinical symptoms of voiding disturbance.…”

“…Lee et al also reported that the percentage of NMNE based on voiding symptoms from the medical history is 53% . However, in a cross‐sectional study where all of the patients had been referred from other hospitals, Fonseca and Monteiro reported bladder dysfunction in 94.5% of children and teenagers with enuresis, 97.3% of whom had diurnal voiding symptoms . Similarly, in previous research our results indicated that percentages of NMNE were 89.8 and 68.5% based on the questionnaire and the bladder diary, respectively .…”

“…Similarly, in previous research our results indicated that percentages of NMNE were 89.8 and 68.5% based on the questionnaire and the bladder diary, respectively . Therefore, some studies suggest that a more sophisticated radiological or urological method should be performed in children with daytime wetting and clinical symptoms of voiding disturbance . Nevertheless, a UDS is not a routine investigation in children with NE.…”

“…23 Therefore, some studies suggest that a more sophisticated radiological or urological method should be performed in children with daytime wetting and clinical symptoms of voiding disturbance. 11,22 Nevertheless, a UDS is not a routine investigation in children with NE. A recent report by Hjalmas et al recommended that uroflowmetry and residual urine measurement cannot be excluded as an initial assessment for children with NE and with LUTS.…”

Enuresis and overactive bladder in children: what is the relationship between these two conditions?

“…Nocturnal enuresis causes problems with socialization, resulting in low self-esteem and stress both of the child and the family. In addition, NE has been found to be associated with behavioral alterations such as attention-deficit/hyperactivity disorder (13). …”