Reference values for frequency volume chart and uroflowmetry parameters in adolescent and adult enuresis patients

Hofmeester, Ilse; Brinker, Astrid E.; Steffens, M.G.; Mulder, Zwaan; Capelle, J; Feitz, W.F.J.; Blanker, Marco H.

doi:10.1002/nau.22955

Cited by 4 publications

(6 citation statements)

References 27 publications

(73 reference statements)

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“…Hofmeester et al . [27] suggested that amongst patients with NE aged 11–42 years, 42% and 96% had small maximum voided volume and NP, respectively. In addition to previous knowledge, our present study has shown that men with NE can possess both or either increased urine production and bladder function problems, with reduced NBC, and NP with reduced NBC, to be independent predictors of NE episodes.…”

Section: Discussionmentioning

confidence: 99%

The clinical features and predictive factors of nocturnal enuresis in adult men

et al. 2020

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To characterise the clinical features and to discover predictive factors of adult males with nocturnal enuresis (NE). Patients and Methods A total of 43 eligible adult male patients (mean age was 57.8 years) were recruited prospectively over a 2-year period. After documentation of medical history, lower urinary tract symptoms (LUTS) were assessed using the International Consultation on Incontinence Modular Questionnaire-male LUTS (ICIQ-MLUTS), and a 3-day ICIQ-bladder diary (ICIQ-BD). Videourodynamic studies (VUDS) were conducted conforming to the International Continence Society standards. Univariate and multivariate linear regressions were performed to determine potential predictive factors. Results Patients with NE had a variety of LUTS and had a high incidence of obesity and comorbidities. On the ICIQ-BD, NE was associated with nocturnal polyuria (NP), reduced nocturnal bladder capacity (NBC), or a combination of both. Subgroup analysis indicated that patients with more frequent NE had: higher body mass index (BMI); more comorbidities; reduced daytime urinary frequency and urgency quality of life (QoL) sub-scores; and increased stress urinary incontinence (SUI) and nocturnal bedwetting sub-scores. Patients with reduced NBC only, had fewer NE episodes, while patients with NP, or with both NP and reduced NBC were more likely have frequent NE. Multivariate analysis confirmed that: BMI; neurogenic causes; sub-scores of SUI QoL and bedwetting domain; the presence of reduced NBC, and both NP and reduced NBC; and bladder outlet obstruction, were all independent predictive factors for the severity of NE. Conclusions NE n the adult male should be systemically assessed and treated, as obesity, neurogenic disorders, excessive urine production, bladder storage and emptying dysfunctions are risk factors. Bladder diaries and VUDS provide valuable information on potential pathophysiological causes, which could assist clinical evaluation and selection of focussed treatment.

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Section: Discussionmentioning

confidence: 99%

The clinical features and predictive factors of nocturnal enuresis in adult men

et al. 2020

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“…Fifth, a UFM with PVR evaluation was performed only once. It has been recognized that UFM requires repetition to improve its accuracy, reliability, and correct interpretation.- 6,13 Finally, we did not confirm whether FBC increased after treatment.…”

Section: Discussionmentioning

confidence: 70%

“…In children with NE, the evaluation of FBC can provide an important information about NP and bladder capacity. 13 ICCS recommends the use of 48-h F/V charts for this assessment. During this test, the volume and timing of all voids and fluid intake must be recorded.…”

Section: Discussionmentioning

confidence: 99%

<p>Evaluation of Functional Bladder Capacity in Children with Nocturnal Enuresis According to Type and Treatment Outcome</p>

Kang

Chung

2020

RRU

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This study aimed to identify whether functional bladder capacity (FBC) differs among subgroups of nocturnal enuresis (NE) patients and can be used to predict treatment response. Methods: A total of 69 children with NE were included in this study between July 2017 and February 2019 according to medical chart review, retrospectively. All patients completed a questionnaire about voiding symptoms and 48-hour frequency/volume (48-h F/V) charts. FBC was obtained from the 48-h F/V charts and uroflowmetry (UFM) with post-void residual volume (PVR). All patients were primarily treated with standard urotherapy and pharmacological therapy. The response rate was analyzed at 3 months after treatment. Results: The mean age of the 69 patients (42 male, 27 female) was 83.3 ± 22.4 months (range, 5-13 years) at the first visit. The percentages of children with monosymptomatic NE (MNE) and non-monosymptomatic NE (NMNE) on the questionnaire were 40.6% (28/69) and 59.4% (41/69), respectively. FBC of all patients was lower than the normal range of expected bladder capacity, and there were no significant differences between measurement methods, NE types (MNE vs NMNE), or response rates (p > 0.05). Conclusion: Children with NE had diminished FBC in both 48-h F/V charts and UFM with PVR. We found no difference in FBC by NE type or treatment outcome. Therefore, FBC cannot be used to distinguish between NE types or predict treatment responses.

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“…We selected the largest uroflowmetry void for analyses. Descriptions of adapted DBT, data‐collection, baseline characteristics and reference values for FVCs and uroflowmetry have been published in detail; 34% females, 65% primary enuresis, 81% non‐monosymptomatic enuresis, and 46% frequent enuresis (≥4 wet nights/week).…”

Section: Methodsmentioning

confidence: 99%