Is Endoscopic Transurethral Incision Really Effective for Boys with Refractory Daytime Incontinence?

TUI daytime incontinence enuresis pediatric

Journal

Research and reports in urology
ISSN: 2253-2447
Titre abrégé: Res Rep Urol
Pays: England
ID NLM: 101576971

Informations de publication

Date de publication:
2020
Historique:
received: 16 03 2020
accepted: 08 07 2020
entrez: 9 8 2020
pubmed: 9 8 2020
medline: 9 8 2020
Statut: epublish

Résumé

To determine the clinical efficacy of endoscopic transurethral incision (TUI) for boys with refractory daytime incontinence due to a posterior urethral valve with or without nocturnal enuresis. A total of 20 boys with daytime incontinence were assessed. Twelve boys underwent TUI (TUI+ group) and eight boys continued receiving oral drugs (TUI- group). The primary endpoint was the cure rate associated with TUI or NE in both groups. Only two boys achieved daytime continence 6 months after TUI, but no boys were cured of nocturnal enuresis 6 months after TUI. The median time to daytime continence was significantly longer in the TUI+ than in the TUI- group (52 vs 27 months, respectively; log rank P = 0.041) and the median time to dry nights was significantly longer in the TUI+ than in the TUI- group (56 vs 36 months, respectively; log rank P = 0.021). TUI might be not effective in boys with refractory daytime incontinence.

Identifiants

pubmed: 32766174
doi: 10.2147/RRU.S254159
pii: 254159
pmc: PMC7381088
doi:

Types de publication

Journal Article

Langues

eng

Pagination

273-277

Informations de copyright

© 2020 Morizawa et al.

Déclaration de conflit d'intérêts

The authors report no conflicts of interest in this work.

Références

Eur J Pediatr Surg. 2019 Feb;29(1):85-89
pubmed: 30267391
Int J Urol. 2005 Jun;12(6):558-62
pubmed: 15985078
Investig Clin Urol. 2017 Jun;58(Suppl 1):S46-S53
pubmed: 28612060
World J Urol. 2017 Oct;35(10):1611-1616
pubmed: 28247065
Scand J Urol Nephrol. 2008;42(6):528-33
pubmed: 18609267
Urology. 2002 Dec;60(6):947-53
pubmed: 12475647
Br J Urol. 1994 Jan;73(1):91-5
pubmed: 8298906
BJU Int. 2011 Apr;107(8):1304-11
pubmed: 20804485
Neurourol Urodyn. 2017 Jan;36(1):43-50
pubmed: 26473630
Actas Urol Esp. 2015 Dec;39(10):646-50
pubmed: 26112258
Int J Urol. 2008 Mar;15(3):235-40
pubmed: 18304219
Urology. 2008 Nov;72(5):1022-5
pubmed: 18585762
Urology. 2004 May;63(5):967-71; discussion 971-2
pubmed: 15134990
J Urol. 1999 Dec;162(6):2130-2
pubmed: 10569602
J Urol. 2016 Jul;196(1):213-8
pubmed: 26964916
J Urol. 1968 May;99(5):629-31
pubmed: 5648559

Auteurs

Yosuke Morizawa (Y)

Department of Urology, Nara Medical University, Kashihara, Nara, Japan.

Katsuya Aoki (K)

Department of Urology, Nara Medical University, Kashihara, Nara, Japan.

Shunta Hori (S)

Department of Urology, Nara Medical University, Kashihara, Nara, Japan.

Daisuke Gotoh (D)

Department of Urology, Nara Medical University, Kashihara, Nara, Japan.

Makito Miyake (M)

Department of Urology, Nara Medical University, Kashihara, Nara, Japan.

Yasushi Nakai (Y)

Department of Urology, Nara Medical University, Kashihara, Nara, Japan.

Kazumasa Torimoto (K)

Department of Urology, Nara Medical University, Kashihara, Nara, Japan.

Nobumichi Tanaka (N)

Department of Urology, Nara Medical University, Kashihara, Nara, Japan.

Kiyohide Fujimoto (K)

Department of Urology, Nara Medical University, Kashihara, Nara, Japan.

Classifications MeSH