Document Detail


Spina bifida occulta: Not to be overlooked in children with nocturnal enuresis.
MedLine Citation:
PMID:  23294087     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: Previous reports have suggested that the incidence of spina bifida occulta in patients with nocturnal enuresis is higher than in the general population. However, the effect of spina bifida occulta on the response to nocturnal enuresis treatment is controversial. The purpose of this study was to investigate the relationship between spina bifida occulta and response to treatment of nocturnal enuresis. METHODS: Between 2006 and 2009, the records of 160 children with nocturnal enuresis were reviewed. Children with other organic urological disease or symptoms suggestive of spinal dysraphism were excluded. Plain radiography for the kidney-ureter-bladder was carried out before the start of the nocturnal enuresis treatment. Response to treatment of children with and without spina bifida occulta was compared. RESULTS: Of 160 children, 53 were girls; the mean age was 7.8 ± 2.06 years. The mean duration of treatment was 8.7 ± 9.29 months. Spina bifida occulta was detected in 43 children (26.9%). Spina bifida occulta affected L4 in four children, L5 in 12 children, S1 in 26 children and S2 in one child. There was a significant difference between the spina bifida occulta and non-spina bifida occulta groups in terms of outcome (P = 0.002), with a complete response more likely in children without spina bifida occulta (P = 0.005). None of the children with primary non-mono symptomatic nocturnal enuresis and spina bifida occulta showed a complete response. CONCLUSIONS: The presence of spina bifida occulta significantly affects the response to treatment in patients with nocturnal enuresis. Thus, verifying spina bifida occulta in this patient population can facilitate the prediction of the response to nocturnal enuresis treatment.
Authors:
Sang Hee Shin; Young Jae Im; Mi-Jung Lee; Yong Seung Lee; Eun Kyoung Choi; Sang Won Han
Related Documents :
24959537 - Serum ngal in critically ill children in icu from a single center in egypt.
12843057 - Rotavirus diarrhea severity is related to the vp4 type in mexican children.
24818967 - Childhood tuberculosis in northern viet nam: a review of 103 cases.
23787987 - Pediatric hip: pearls and pitfalls.
11198607 - Recurrence and follow-up after urinary tract infection under the age of 1 year.
7063427 - Right ventricular apical activation time in children. reference standards for clinical ...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-8
Journal Detail:
Title:  International journal of urology : official journal of the Japanese Urological Association     Volume:  -     ISSN:  1442-2042     ISO Abbreviation:  Int. J. Urol.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9440237     Medline TA:  Int J Urol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2013 The Japanese Urological Association.
Affiliation:
Bladder-Urethra Rehabilitation Clinic, Yonsei University Health System.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Differential susceptibility to prevention: GABAergic, dopaminergic, and multilocus effects.
Next Document:  Embracing complexity: Rethinking the relation between play and learning: Comment on Lillard et al. (...