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13:42 - 13:48
ICCS S5-5
(LO)
THE RELATIONSHIP BETWEEN SPINA BIFIDA OCCULTA AND THE TREATMENT OF
PRIMARY NOCTURNAL ENURESIS
Jian Guo WEN
1
, Jian Hua NIU
2
, Jun Wei WU
2
, Zhi Ming JIA
2
, Liang Hua JIA
2
, Yu Tao LV
2
and Lin Gang CUI
2
1) The First Affiliated Hospital of Zzhengzhou University, Urodynamic Centre and Department of Urology, Zhengzhou,
CHINA - 2) The First Affiliated Hospital of Zzhengzhou University, Pediatric Urodynamic Centre, Zhengzhou, CHINA
PURPOSE
To investigate the relationship between the spina bifida occulta (SBO) and the response to treatment of PNE.
MATERIAL AND METHODS
The diagnosis and treatment records of 163 children with PNE and arousal dysfunction were reviewed. Children with UTI
and other organic urological diseases were excluded. Bladder diary was routinely recorded before the start of PNE
treatment. The functional bladder capacity (FBC) data was collected from bladder diary. The children with SBO were
confirmed by X ray. All patients were divided into two groups: SBO groups and non-SBO groups. They were given the
same treatment programs. The frequency of enuretic episodes per week was recorded. The follow-up was carried out
once a month for at least half a year. Chi-square test was used for data analysis, and P< 0.05 was considered to be
statistical significant.
RESULTS
SBO was detected in 122 children (74.8%)(9.8±2.3 years). There was no significance between the two groups in age,
the frequency of enuretic episodes and the FBC ( P
＞
0.05) before treatment. There was a significant difference between
the two groups in the increment of FBC after treatment (P
＜
0.05). In the SBO group, 20.5% patients showed a complete
response, 20.5% showed a response, 27.9% showed a partial response and 31.1% showed no response,and the
corresponding incidence of non-SBO groups is 48.8% ,24.4%, 22.0% and 4.8%,respectively. There was a significant
difference between the two groups in terms of outcome (P
＜
0.001), with a complete response more likely in children
without SBO (P
＜
0.001).
CONCLUSIONS
The response of treatment is better in PNE children without SBO than with SBO.