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Med J Bakirkoy. 2005; 1(1): 29-32


Urodynamic findings in adolescents and adults with primary nocturnal enuresis

Ekrem Güner, Volkan Tuğcu, Eray Kemahlı, Ali İhsan Taşçı, Turgay Seymen, Murat Dinçer, Muzaffer Baş.

Abstract
Objectives: We evaluated with urodynamic studies the bladder function of adolescents and adults who had primary nocturnal enuresis (PNE) since early childhood.

Materials and Methods: 36 patients (11 males and 25 females), with PNE complaints were included in the study. We recruited all patients older than 12 (mean age: 17,2 years) who presented to our clinic with persistent enuretic symptoms since early childhood. A detailed history and physical examination were performed on all patients (at the first consultation) to document enuretic and other urinary symptoms
and previous treatments. Detailed enuretic diary (to document the number of wet nights a week), uroşowmetry, cystometry, pressure şow study and ultrasonography of the urinary tract were also routinely performed to rule out any anatomical anomalies of the urinary tract as well as to assess the functional bladder capacity and emptying efficiency for every patient. For statistical evaluation, we used repetitive Pillia’s Trace Test.

Results: 14 patients had mild (

Key words: Nocturnal enuresis, adolescent, adult, urodynamic study



Primer Enürezis Noktürnalı Adölesan ve Yetişkin Hastalarda Ürodinamik Bulgular

Özet
Amaçlar: Primer enürezis noktürna (PNE) şikayeti olan adölesan ve yetişkin hastaların mesane fonksiyonları ürodinamik çalışmalar ile değerlendirildi.

Gereç ve Yöntem: PNE şikâyeti ile kliniğimize başvuran, 13 yaş ve üzerindeki (14-44 yaş), yaş ortalaması 17,2 olan, 11 erkek 25 kadın toplam 36 hasta çalışmaya dahil edildi. Bütün hastaların detaylı anamnezleri alındı, fizik muayeneleri yapıldı, işeme/dışkılama günlükleri
çıkarttırıldı. Üriner ultrasonografi (USG), üroşovmetri, sistometri ve basınç akım çalışmaları yapıldı. İstatistiksel değerlendirmelerde Tekrarlı Pillai’s Trace testi kullanıldı.

Bulgular: Çalışmaya alınan 36 hastanın 18’inde (%50) çeşitli üriner semptomlar mevcuttu. On hastada (%28)(6 kadın, 4 erkek) detrüsör aşırı aktivitesi (DAA) saptandı; 3 (%8) hastanın mesane kapasitesi 300ml’nin altında bulundu; ve 3 (%8) hastada ürodinamik çalışma sonrası alt üriner sistemde obstrüksiyon bulguları tespit edildi (Q max

Anahtar Kelimeler: Enürezis noktürna, adölesan, yetişkin, ürodinami



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