Evaluation of bladder capacity in pediatric patients with nocturnal enuresis using voiding diary and uroflowmetry: A retrospective study.

Northern clinics of Istanbul Pub Date : 2024-10-03 eCollection Date: 2024-01-01 DOI:10.14744/nci.2024.89990
Sevim Yener, Zekeriya Ilce
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Abstract

Objective: This retrospective study was conducted in a tertiary hospital in Turkiye, it was aimed to evaluate the results of kidney and bladder ultrasonography, uroflowmetric study and volume frequency chart in children diagnosed with bedwetting at night.

Methods: This study focused on patients aged 5-17 years who were treated for nocturnal enuresis in the single-center pediatric urology clinic of a tertiary hospital between 2017-2021. Patients' comorbidities, surgical history, urinary ultrasonography findings, uroflowmetry examination results, and two-day voiding diary were requested.

Results: The number of pediatric patients diagnosed with enuresis nocturna was 956. Abnormal ultrasonography findings were observed in 13.9% of patients. Almost half of the patients had a positive family history, and 13.4% had a history of previous surgical procedures. While the voiding diary indicated that 54.2% of patients had bladder volumes equivalent to the expected bladder capacity, uroflowmetry examination revealed low bladder capacity in 65% of patients.

Conclusion: This study underscores the significance of comprehensive evaluations, including detailed ultrasonography and voiding diary measurements, in pediatric patients with monosymptomatic enuresis nocturna. Our study suggests that bladder volume measured through a two-day weekend voiding diary may provide more effective information for estimating optimal bladder capacity compared to measurements obtained through uroflowmetry.

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使用排尿日记和尿流流量计评估夜间遗尿症儿童患者的膀胱容量:回顾性研究。
研究目的这项回顾性研究在土耳其的一家三级医院进行,旨在评估被诊断为夜间尿床的儿童的肾脏和膀胱超声波检查、尿流率检查和尿量频率表的结果:本研究主要针对2017-2021年间在一家三甲医院的单中心儿科泌尿外科门诊接受治疗的5-17岁夜间遗尿症患者。研究要求患者提供合并症、手术史、泌尿超声检查结果、尿流动力学检查结果和两天排尿日记:结果:确诊为夜尿症的儿科患者人数为 956 人。13.9%的患者超声波检查结果异常。近一半的患者有阳性家族史,13.4%的患者有手术史。虽然排尿日记显示 54.2% 的患者膀胱容量与预期容量相当,但尿流率测量检查显示 65% 的患者膀胱容量偏低:本研究强调了对单症状夜遗尿的儿童患者进行全面评估(包括详细的超声波检查和排尿日记测量)的重要性。我们的研究表明,与通过尿流率测量法获得的测量结果相比,通过周末两天的排尿日记测量膀胱容量可为估计最佳膀胱容量提供更有效的信息。
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