Abstract
Background: Nocturnal Enuresis is a serious problem that affects children and their families. It may be monosymptomatic or non-monosymptomatic nocturnal enuresis. Urodynamic study help to define the functional status of the Lower urinary tract .
Our aim is to re-evaluate children with non-physiological NE by urodynamic study who are resist treatment for more than three months.
Methods:
It wad cross sectional study that carried out at Pediatric Nephrology Clinic and Pediatric Urology Clinic of Zagazig University Hospital over a period of 2 year from August 2017 to July 2019. Total sample size included 48 children, They were divided into three groups, Monosymptomatic Nocturnal Enuresis , Non Monosymptomatic Nocturnal Enuresis with daytime incontinence and Non Monosymptomatic nocturnal enuresis without daytime incontinence) . All patients were subjected to urine analysis, urine, culture, X-rays on lumbosacral area, US examination, Urodynamics.
Results: the studied groups showed statistically significant difference as regard normal ultrasound findings but no difference with other bladder US finding. The studied groups showed highly statistically difference in each of normal Urodynamics , Over acting bladder, and Over acting bladder + detrusor hyper activity and no difference between them as regard detrusor hyper activity. There was a significant difference between the studied groups as regard normal Voiding Cystourethrogram findings, while no difference between groups as regard widening of bladder neck, and bladder diverticulum, unreported and irregularity of bladder wall.
Conclusion: Ultrasonography uroflowmetry can pick most of UI children.