association of nocturnal enuresis with vesicoureteral reflux and renal cortical damage
نویسندگان
چکیده
background the prevalence of vesicoureteral reflux (vur) is higher in enuretic children than in non-enuretic children. recent studies have reported vur in 6–23% of children with enuresis. objectives to clarify the association of nocturnal enuresis with vesicoureteral reflux (vur) and to identify children who are at risk for vur. conclusions vur is uncommon in children with mne and in those with nmne who do not wet themselves during the day; however, it is a relatively common finding in enuretic children who have daytime incontinence. we recommend vcug in all enuretic children who have daytime incontinence. patients and methods during 2007–2009, neurologically normal children who were referred with a chief complaint of nocturnal enuresis and had abnormal renal ultrasonography (us) results, daytime incontinence, abnormal results in urodynamic studies, urinary tract infection, or a history of vur in their siblings were prospectively evaluated for vur by voiding cystourethrography (vcug). results a total of 60 children (26 boys and 34 girls) aged 5–17 (mean ± sd: 8.46 ± 2.45) years met the inclusion criteria and were enrolled in the study. twenty-eight (46.7%) patients had mono-symptomatic nocturnal enuresis (mne), and 32 (53.3%) had non-mono symptomatic nocturnal enuresis (nmne). vur was reported in 10 (16.7%) patients and posterior urethral valve (puv) was found in 1 (1.7%) patient. the prevalence of vur was significantly higher in patients with daytime incontinence and in girls (p = 0.016 and 0.003 respectively). we did not find any significant correlations between vur and the form of enuresis (primary versus secondary), urinary tract infection, or any diurnal urinary symptoms other than daytime incontinence (p > 0.05 for all). of 10 renal scintigrams, 5 (50%) showed renal cortical defects.
منابع مشابه
Association of Nocturnal Enuresis With Vesicoureteral Reflux and Renal Cortical Damage
BACKGROUND The prevalence of vesicoureteral reflux (VUR) is higher in enuretic children than in non-enuretic children. Recent studies have reported VUR in 6-23% of children with enuresis. OBJECTIVES To clarify the association of nocturnal enuresis with vesicoureteral reflux (VUR) and to identify children who are at risk for VUR. PATIENTS AND METHODS During 2007-2009, neurologically normal c...
متن کاملrefers to: association of nocturnal enuresis with vesico-ureteral reflux and renal cortical damage
متن کامل
Refers to: Association of Nocturnal Enuresis With Vesico-ureteral Reflux and Renal Cortical Damage
In the mid-1980’s, the Aarhus group headed by the two pioneers in Nocturnal Enuresis research Jens-Christian Djurhuus and Jens Peter Nørgaard, reported the first data correlating the degree of Vesicoureteral Reflux (VUR) and associated nephropathy to the presence of enuresis (1). The material showed that one half of the patients with reflux also had enuresis, and that in spite of identical demo...
متن کاملVesicoureteral Reflux, Reflux Nephropathy, and End-Stage Renal Disease
OBJECTIVE To review the contribution of vesicoureteral reflux and reflux nephropathy to end-stage renal disease. DATA SOURCE Published research articles and publicly available registries. RESULTS Vesicoureteral reflux (VUR) is commonly identified in pediatric patients and can be associated with reflux nephropathy (RN), chronic kidney disease (CKD), and rarely end-stage renal disease (ESRD)....
متن کاملRenal Cortical Abnormalities in Siblings of Index Patients With Vesicoureteral Reflux
OBJECTIVE: Screening siblings of index patients with vesicoureteral reflux (VUR) has been proposed to identify children who are at risk for renal damage. However, screening siblings for VUR remains controversial. We investigated the prevalence of VUR and renal cortical abnormalities in the sibling population in a large cohort of families with VUR. METHODS: Between 1998 and 2012, parents of inde...
متن کاملRenal Cortical Abnormalities in Siblings of Index Patients With Vesicoureteral Reflux
OBJECTIVE: Screening siblings of index patients with vesicoureteral reflux (VUR) has been proposed to identify children who are at risk for renal damage. However, screening siblings for VUR remains controversial. We investigated the prevalence of VUR and renal cortical abnormalities in the sibling population in a large cohort of families with VUR. METHODS: Between 1998 and 2012, parents of inde...
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عنوان ژورنال:
nephro-urology monthlyجلد ۴، شماره ۲، صفحات ۴۴۸-۴۵۳
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