Ultrasound bladder measurements in patients with primary nocturnal enuresis: a urodynamic and treatment outcome correlation.

摘要: ABSTRACT Purpose: Accurate assessment of bladder dysfunction associated with voiding dysfunctions often necessitates invasive urodynamic (UD) studies. We evaluate the use a special ultrasound (US) protocol for compared findings, and prediction treatment outcome in children primary nocturnal enuresis (PNE). Materials Methods: US measurements were performed on 514 5 to 18 years old (mean age 11.2) PNE, those 339 normal matched children. A was specially designed evaluation parameters using volume wall thickness index (BVWI %), expected percentage kidney volume. Of enuretic 218 had severe symptoms more than 3 wet nights week. They underwent studies detailed any underlying dysfunction. standard 4-week course desmopressin given these after UD The then correlated findings response desmopressin. Results: Comparing BVWI correlation functional capacities we able delineate capacity as less 70—small thick wall, 70 130—normal greater 130—large thin wall. There statistically significant correlations between response. In addition, there high predictive value function BVWI. Patients good BVWI, whereas poor significantly pathological conditions, that is small or large (p Conclusions: PNE comprises diverse spectrum conditions resulting mismatch urine production excess capacity, has an important role pathophysiology especially refractory cases. This can provide useful clues, which may be helpful differentiate subtypes, guide clinical management minimize need