Assessment of Bladder Capacity and Pelvic Floor Muscle Strength in Children with Primary Nocturnal Enuresis

Abstract

Background: Enuresis is a health issue suffered in childhood. This problem is common and difficult to cure for 10-15% of the 5 years old children in their growing stage. Primary Nocturnal Enuresis (PNE) is commonest type of all other types of enuresis. The parents and family of children with enuresis suffers emotional trauma and anxiety as a part of adverse effect of the condition. Genetic, Obstructive sleep Apnea and detrusor muscle inactivity are the common associated factors of PNE. Urodynamic studies are the most evaluative method to check bladder functions for child enuresis or incontinence. There is a lack in uroflowmetry and surface electromyography values for effective diagnosis of PNE. Objectives: The present study focuses on to find out the score of uroflowmetry and surface electromyography in Paediatric Primary Nocturnal Enuresis. Methods: A cross-sectional Design was done on 21 Participants from the children of 5-15 years, of both genders and educational levels. The uroflowmetry and Surface Electromyography was performed to subjects who diagnosed as children with PNE by Paediatrician and who want to participate in the study. Results: The uroflowmetry records of 21 Enuretic children shows that the mean value of voiding volume is 158.28± 53.41ml/sec and mean of Average flowrate is 10.36± 2.62ml/sec. The surface electromyography shows that the highest maximum voluntary activity (MVA) of perianal muscle is 513µv and the lowest value is 111µv. Conclusion: This small cross-sectional study, which expands the scant existing literature on uroflow parameters and Surface electromyography (sEMG) in Enuretic children, will hopefully promote wider application of uroflowmetry testing and surface EMG of pelvic muscles in the paediatric population having PNE. Key words: Primary Nocturnal Enuresis, Uroflowmetry, Surface Electromyography, Voiding volume, Pelvic floor muscles