Overactive bladder in children should be strictly differentiated from monosymptomatic nocturnal enuresis

Urologia Internationalis
Mitsuru KajiwaraTsuguru Usui

Abstract

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. 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. 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. 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.

References

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Oct 14, 2005·Journal of Developmental and Behavioral Pediatrics : JDBP·Tippawan HansakunachaiNittaya Kotchabhakdi
Feb 2, 2006·International Journal of Urology : Official Journal of the Japanese Urological Association·Mitsuru KajiwaraTsuguru Usui

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Citations

Mar 10, 2011·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Marcio A Averbeck, Helmut Madersbacher
Apr 18, 2017·Pediatrics International : Official Journal of the Japan Pediatric Society·Salvatore Arena, Mario Patricolo
May 20, 2009·Current Opinion in Urology·Kenneth I Glassberg, Andrew J Combs

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