Urological abnormalities in 1,328 patients with nocturnal enuresis

Eur Urol. 1996;29(2):231-4.

Abstract

Objectives: Evaluation of the incidence of urological abnormalities as revealed by urological examinations of a large number of patients with enuresis.

Methods: Patients with the chief complaint of nocturnal enuresis were examined urologically.

Results: The incidence of urological abnormalities was 1.8% of 940 patients on intravenous pyelography (IVP), 7.1% of 695 patients on voiding cystourethrography (VCG) and 11.5% of 487 patients on cystometry (CM). No abnormal findings were observed in 58 patients on renal ultrasonography (US). 92.1% of reflux cases detected by VCG were low grade and only 8.9% of patients with reflux had pyuria. 20.2% of 446 patients who were submitted to all these examinations had some urological abnormality. Only pollakisuria was statistically more frequent in patients with urological abnormalities than in patients without them.

Conclusion: These data suggest that the incidence of urological abnormalities was rather low when compared with the past literature. In particular, IVP was though to be unnecessary.

MeSH terms

  • Child
  • Cohort Studies
  • Cystoscopy
  • Enuresis / etiology
  • Enuresis / pathology*
  • Enuresis / physiopathology
  • Female
  • Humans
  • Hydronephrosis / complications
  • Hydronephrosis / congenital
  • Hydronephrosis / diagnosis
  • Incidence
  • Kidney / abnormalities
  • Kidney / diagnostic imaging
  • Male
  • Pyuria / physiopathology
  • Spina Bifida Occulta / complications
  • Spina Bifida Occulta / diagnosis
  • Spina Bifida Occulta / epidemiology
  • Spine / diagnostic imaging
  • Ultrasonography
  • Urinary Tract / abnormalities*
  • Urinary Tract Infections / complications
  • Urinary Tract Infections / diagnosis
  • Urography