Postvoidal residual urine is the most significant non-invasive diagnostic test to predict the treatment outcome in children with non-neurogenic lower urinary tract dysfunction

Beksaç, Alp Tuna; Koni, Artan; Bozacı, Ali Cansu; Doğan, Hasan Serkan; Tekgül, Serdar

doi:10.1016/j.jpurol.2016.04.011

Cited by 20 publications

(23 citation statements)

References 23 publications

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“…In other studies, the role of ultrasonography in the evaluation and diagnosis of bladder dysfunction and renal anomalies in primary nocturnal enuresis was studied (20,21). Also, evaluation of post void residue by ultrasonography was used in these children to diagnose lower urinary dysfunction (22). Ultrasonography had also been used in diagnosis of spina bifida occulta in children with nocturnal enuresis and can be useful in evaluating the treatment of these children (14,23).…”

Section: Discussionmentioning

confidence: 99%

Is Renal Bladder Ultrasound Necessary in Monosymptomatic Primary Nocturnal Enuresis? A Case Control Study

Siroosbakht

Rezakhaniha

2018

J Compr Ped

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Background: Primary nocturnal enuresis is the most common type of enuresis and has profound detrimental effects on quality-oflife and sleep patterns, and increased morbidity. The purpose of this study was to determine the frequency of urinary tract abnormalities found in ultrasound of children with monosymptomatic primary nocturnal enuresis (MPNE) and to compare with ultrasound findings of children without MPNE to determine whether performing ultrasound in these children is necessary. Methods: One hundred and two children aged three to 13 years with MPNE at Golestan Hospital affiliated to the Military University of Medical Sciences of Tehran, Iran from 2016 to 2017, were enrolled in this case-control study. The control group included 59 children with no history of voiding dysfunction, who had abdominal ultrasoud for other than urinary system-related causes. The ultrasound findings were compared between the MPNE and control group. Results: Urinary tract abnormality, detected by ultrasound, was found in 15 children (14.7%) in the MPNE group and one child (1.69%) of the control group, with a statistically significant difference (P < 0.05). Findings of the nocturnal enuresis group were mild unilateral or bilateral kidney fullness in three children (20%), kidney simple cysts in one child (6.66%), hydrocele in three children (20 %), increased thickness or irregularity in the bladder wall of eight children (53.33%), and increased bladder wall thickness in one child of the control group. Conclusions: Urinary abnormalities discovered by ultrasonography in MPNE were not clinically significant and did not require any other diagnostic tests. It may only be of concern to parents and cause unnecessary diagnostic procedures by the physician. This study showed that ultrasound should be done for patients with resistant or inappropriate clinical response during treatments.

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Section: Discussionmentioning

confidence: 99%

Is Renal Bladder Ultrasound Necessary in Monosymptomatic Primary Nocturnal Enuresis? A Case Control Study

Siroosbakht

Rezakhaniha

2018

J Compr Ped

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“…In their study using the same references for increased PVR, Beksac et al . claimed that increased PVR is the most significant non‐invasive diagnostic test to predict the treatment outcome in children with NNLUTD …”

Section: Discussionmentioning

confidence: 99%

“…11 In their study using the same references for increased PVR, Beksac et al claimed that increased PVR is the most significant non-invasive diagnostic test to predict the treatment outcome in children with NNLUTD. 22 NNLUTD is considered as one of the several variables that influences various pediatric urological conditions, including the presence and persistence of VUR. 23 The DVISS is a validated questionnaire that assesses the severity of DV habits, daytime symptoms, night-time symptoms and bowel habits in children.…”

Section: Discussionmentioning

confidence: 99%

Can we predict vesicoureteral reflux resolution in patients with non‐neurogenic lower urinary tract dysfunction?

Çakmak¹,

Tarhan

Akarken

et al. 2019

Int J of Urology

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Objective To analyze factors influencing reflux resolution in patients with the coexistence of non‐neurogenic lower urinary tract dysfunction and vesicoureteral reflux. Methods The data of 153 children who were diagnosed with vesicoureteral reflux and accompanying non‐neurogenic lower urinary tract dysfunction between 2010 and 2015 were retrospectively evaluated. Patients with neurogenic and anatomical malformations, monosymptomatic nocturnal enuresis, previous history of vesicoureteral reflux surgery, irregular and/or incomplete follow‐up data were excluded. After exclusion of 55 patients, 98 patients were enrolled in this study. Patients were divided into two groups according to the presence of spontaneous vesicoureteral reflux resolution during the follow‐up period. Group 1 consisted of 54 children with spontaneous vesicoureteral reflux resolution, whereas group 2 included 44 children without resolution. Medical history, physical examination, urinalysis, uroflowmetry combined with electromyography, ultrasonography, as well as the Dysfunctional Voiding and Incontinence Symptom Score questionnaire were also evaluated. Results The mean age at presentation was 7.57 ± 0.23 years (range 5–13 years), and the mean follow‐up period was 28.3 months. Significant differences were noted between the two groups in terms of dysfunctional voiding and incontinence symptom score, bladder wall thickness, and the post‐void residual urine volumes. In addition, lower urinary tract symptoms, namely frequency, urgency and daytime incontinence, were found to be higher in group 2. In multivariate analysis, post‐void residual urine volume and Dysfunctional Voiding and Incontinence Symptom Score were found to affect reflux resolution rates (P = 0.002, P = 0.002, respectively). Conclusions The absence of significant post‐void residual urine volume, and a low Dysfunctional Voiding and Incontinence Symptom Score increase the likelihood of spontaneous resolution rates of vesicoureteral reflux in children with non‐neurogenic lower urinary tract dysfunction.

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“…Other studies have shown that DVISS can screen for more voiding symptoms than patient or family complaints, and better in determining the degree of disease than ultrasonography (USG) . 15,16 The modalities of investigation on urinary disorders can be divided into noninvasive and invasive examinations. 4,7 The recommended investigation in the first child is complete urinalysis.…”

Section: Diagnosis Of Non-neurogenic Bladder Dysfunction:-mentioning

confidence: 99%

“…7 Increase in residual volume post-exposure at risk is 2.7 times for post-therapy failure. 16 Noninvasive urodinamic examinations include uroflowmetry and urodynamics with electromyography (EMG) pelvic floor muscles. The results of uroflowmetry examination are classified in curve form according to ICCS classification, ie bell, tower, staccato, interrupted, and plateau forms.…”

Section: Diagnosis Of Non-neurogenic Bladder Dysfunction:-mentioning

confidence: 99%

Non-Neurogenic Bladder Dysfunction in Children: Diagnosis and Procedure.

Nadeak¹

2017

IJAR

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Postvoidal residual urine is the most significant non-invasive diagnostic test to predict the treatment outcome in children with non-neurogenic lower urinary tract dysfunction

Cited by 20 publications

References 23 publications

Is Renal Bladder Ultrasound Necessary in Monosymptomatic Primary Nocturnal Enuresis? A Case Control Study

Is Renal Bladder Ultrasound Necessary in Monosymptomatic Primary Nocturnal Enuresis? A Case Control Study

Can we predict vesicoureteral reflux resolution in patients with non‐neurogenic lower urinary tract dysfunction?

Non-Neurogenic Bladder Dysfunction in Children: Diagnosis and Procedure.

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