| Autor: |
Taha, Kareem Mahmoud, Abdelal, Ahmad Alayman, Zayed, Abdellatif Mohammed, Alnaqqah, Mohammed Makhlouf |
| Předmět: |
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| Zdroj: |
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2021, Vol. 12 Issue 3, p1808-1813, 6p |
| Abstrakt: |
Background: Nocturnal enuresis or bedwetting is the most common type of urinary incontinence in children. It has significant psychological effects on both the child and the family. The Aim of study w a s to evaluate the role of UDS in evaluation of refractory Nocturnal Enuresis in children. Patients and Methods :This Prospective Study was carried out in Urology Department, Zagazig University Hospital that included 24 Patients, 14 boys and 10 girls. The patient ages was ranged from 10-18 years old with mean age (SD) of 11.91± 1.95 years. All patients were treated with mono pharmacotherapy (desmopressin). The duration of treatment before urodynamic studies (UDS) at last six months. Results: bladder sensation was intact in 41.7%, increased in 50.0% and decreased in 8.3% of patients. The value of a single test PVR was ranged from 20-150 ml. 21 of patients were no post voiding volume (87.5%) and 3 cases had post voiding volume (12.5 %). The filling cystometry was normal in 6 patients (25%) and abnormal in 18 patients (75%). Bladder sensation intact in 10 patients (41.7%) and decrease in 2 patients (8.3%) and increase in 12 patients (50%) with p-value (< 0.05). conclusion: it is recommended to perform urodynamic studies in the form of uroflowmetry and cystometry for those with refractory nocturnal enuresis who failed ADHC ( desmopression ) for at last 6 months as initial monotherapy. Also a combination therapy of anticholinergics with desmopressin could be applied as treatment for those with refractory monosymptomatic nocturnal enuresis . [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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