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ICCS S1-4
(LO)
ENURESIS AND OAB IN CHILDREN. HOW ARE THEY RELATED?
Ubirajara BARROSO
1
, Ariane SOUSA
2
, Maria Luiza VEIGA
3
, Isa LOPES
2
, Ana Aparecida NASCIMENTO
4
, Ana Aparecida
NASCIMENTO
4
, Maria Clara AMORIM
2
and Maria Clara AMORIM
2
1) Bahiana School of Medicine, Federal University of Bahia, Pediatric Urology, Salvador, BRAZIL - 2) Bahiana School of
Medicine, Urology, Salvador, BRAZIL - 3) Bahiana School of Medicine, Physiotherapy, Salvador, BRAZIL - 4) Bahiana
School of Medicine, Psychology, Salvador, BRAZIL
PURPOSE
To evaluate the prevalence and predictive factors of enuresis in children with overactive bladder (OAB) as well as to
study the influence of enuresis in the daytime symptom resolution after parasacral TENS.
MATERIAL AND METHODS
A prospective study was conducted on 223 children diagnosed with OAB. Inclusion criteria: Presence of urgency and/or
daytime incontinence, age 5 to 16 years, no anatomical or neurogenic abnormalities of the urinary tract. Patients were
divided into two groups: with and without enuresis, and were compared for sex, age, race, urinary tract infection (UTI),
presence of urgency, urge incontinence, number of daytime incontinence, frequency, holding maneuver and
constipation.
RESULTS
The patients' ages ranged from 5 to 16 years with a mean of 8.6 ± 2.9 years, Enuresis was found in 152 (68%)
patients, more frequent in girls (N=135, 60.5%). Enuresis was ≥ 3 times per week in 115 (79.3%). The presence of
enuresis was associated only to symptoms of urgency (p=0.001), daytime incontinence (p<0.001), holding maneuvers
(p = 0.007 ) and frequency (p=0.013). No significance was found for for gender, age, race, UTI, presence of
dysfunctional voiding, nocturia, encopresis, constipation, voiding diary information. Enuresis was seen in 95(67,3%)
children ≤ 9 years old and in 53(70,6%) children > 9 years old.
CONCLUSIONS
In children with OAB, enuresis is associated with holding maneuvers. Unlikely monosymptomatic enuresis, enuresis
associated to OAB is more prevalent in girls and tend do not to resolve with time if not treated.