Overactive Bladder In Children Should Be Strictly Differentiated From Monosymptomatic Nocturnal Enuresis

Main Category: Urology / Nephrology
Also Included In: Pediatrics / Children's Health
Article Date: 20 Apr 2008 - 0:00 PDT

email to a friend   printer friendly   view / write opinions   rate article

UroToday.com - A study out of Japan evaluated the prevalence of a concomitant overactive bladder in children with a chief complaint of primary nocturnal enuresis. The group also wanted to evaluate the pathogenic difference between monosymptomatic and non-monosymptomatic nocturnal enuresis in these patients as well. They evaluated 88 patients who had evidence of primary enuresis. Urinary symptoms were evaluated by taking a history of from the affected children, as well as the parents, utilizing a questionnaire and bladder diary. It should be noted that none of the patients had a neuropathic bladder. Voiding cystourethrography was performed to exclude any anatomic urinary abnormalities.

The group found that of the 88 patients who were on average 9.8 years of age with a range of 6.7 to 12.9, had an initial assessment that undervalued their overactive bladders 24% of the time. Also 9% of these patients had constipation as well. Based on the history, voiding cystourethrography was performed on 25% of the patients which demonstrated a mechanical urethral obstruction in 8% and vesicoureteral reflux in 4.5%. The group then went to state that based on their study constipation, history of previous UTIs, mechanical obstructions and vesicoureteral reflux was strongly associated with the non-monosymptomatic nocturnal enuresis patients and not with the monosymptomatic enuresis patients. They conclude their study by stating patients with non-monosymptomatic enuresis had a different clinical background and history with different therapeutic responses as well as pathogenic abnormalities. They found it imperative that and overactive bladder should be strictly differentiated from monosymptomatic enuresis.

Reported by UroToday.com Medical Editor Pasquale Casale

UroToday - the only urology website with original content written by global urology key opinion leaders actively engaged in clinical practice.

To access the latest urology news releases from UroToday, go to: www.urotoday.com

Copyright © 2008 - UroToday