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Alarfaj HM, Almaqhawi A, Kamal AH, Bu Bshait MS, Al Abdulqader A, Albarqi M, Almoghnam M, Alhaddad ZA, Alrubaia HA, Alotaibi AT, Zakaria O. Parental perception of nocturnal enuresis in a local region of Saudi Arabia. J Med Life 2024; 17:73-80. [PMID: 38737650 PMCID: PMC11080501 DOI: 10.25122/jml-2023-0423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Accepted: 12/14/2023] [Indexed: 05/14/2024] Open
Abstract
Nocturnal enuresis (NE) has been associated with neurodevelopmental disorders such as autism spectrum disorder, attention deficit or hyperactivity disorder, and intellectual disability. This study aimed to assess parents' perception of NE in children in the eastern region of Saudi Arabia. We conducted a cross-sectional study from May to August 2023, including parents aged ≥18 years living in the area. We administered an online questionnaire to assess parents' knowledge and attitudes toward NE and its treatment. A total of 616 parents completed the questionnaire, 71.4% of which were women, 35% were aged between 25 and 35 years, 75% were married, 65% had a university degree, and 49% had three or more children. In total, 70% demonstrated a good overall knowledge about NE and its treatment, and nearly 60% had a positive attitude toward the condition. Univariate and multivariate ordinal logistic regression analyses revealed that female sex, a higher level of education, and having more than one child were associated with a higher score regarding attitude toward treatment. The level of education and the number of children were predictors of knowledge and a positive attitude toward NE in children.
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Affiliation(s)
| | - Abdullah Almaqhawi
- Department of Family and Community Medicine, College of Medicine, King Faisal University, Al Hofuf, Saudi Arabia
| | - Ahmed Hassan Kamal
- Department of Surgery, College of Medicine, King Faisal University, Al Hofuf, Saudi Arabia
| | | | - Ahmad Al Abdulqader
- Department of Surgery, College of Medicine, King Faisal University, Al Hofuf, Saudi Arabia
| | - Mohammed Albarqi
- Department of Family and Community Medicine, College of Medicine, King Faisal University, Al Hofuf, Saudi Arabia
| | - Mohammed Almoghnam
- Department of Pediatric Surgery, Maternity and Children’s Hospital, Al-Ahsa, Saudi Arabia
| | | | | | | | - Ossama Zakaria
- Department of Surgery, College of Medicine, King Faisal University, Al Hofuf, Saudi Arabia
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Yang J, Won JK, Kim KH, Lee JY, Kim SK, Shin HI, Park K, Wang KC. Occult tethered cord syndrome: a rare, treatable condition. Childs Nerv Syst 2022; 38:387-395. [PMID: 34611760 DOI: 10.1007/s00381-021-05353-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2021] [Accepted: 08/30/2021] [Indexed: 11/26/2022]
Abstract
PURPOSE Occult tethered cord syndrome (OTCS) is an entity that shows tethered cord syndrome (TCS) with normal spinal MRI findings. The definition and treatment of OTCS have been controversial since first proposal. The purpose of this study was to evaluate the existence, prevalence, histological characteristics, and surgical outcomes of OTCS. METHODS We retrospectively analyzed patients who underwent untethering surgery for OTCS from January 2010 to December 2019. Inclusion criteria were (1) clinical manifestation of TCS; (2) supported by urodynamic study (UDS) or electromyography/nerve conduction study; (3) no structural lesions in the urological tract or spinal cord, and no developmental delay; and (4) postoperative follow-up for > 6 months. Sectioned fila from OTCS patients were histologically compared with those from cases of thickened filum or low-lying conus. RESULTS Five (four female, one male) of 439 patients (1.1%) who underwent untethering surgeries for occult spinal dysraphism corresponded to OTCS. Mean age at the time of surgery was 16 years (7-22 years). Mean postoperative follow-up duration was 45 months (15-114 months). The main symptom was urinary dysfunction in four patients and leg pain in one. All patients had detrusor-sphincter dyssynergia. Fila from OTCS patients revealed increased fibrous tissue as in TCS patients. Four patients showed postoperative improvement and one with preoperative static course had no improvement. CONCLUSIONS This study suggests that OTCS is a definitely existing entity although rare. OTCS is curable when timely treatment is given. Sudden onset with rapid progression of symptom seems the best indication for surgery.
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Affiliation(s)
- Jeyul Yang
- Center for Rare Cancers, Neuro-Oncology Clinic, National Cancer Center, 323 Ilsan-ro, Ilsandong-gu, Goyang, Gyeonggi-do, 10408, Korea
| | - Jae-Kyung Won
- Department of Pathology, Seoul National University Hospital and Seoul National University College of Medicine, Seoul, Korea
| | - Kyung Hyun Kim
- Division of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul, Korea
| | - Ji Yeoun Lee
- Division of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul, Korea
- Department of Anatomy, Seoul National University College of Medicine, Seoul, Korea
| | - Seung-Ki Kim
- Division of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul, Korea
| | - Hyung-Ik Shin
- Department of Rehabilitation Medicine, Seoul National University Hospital and Seoul National University College of Medicine, Seoul, Korea
| | - Kwanjin Park
- Division of Pediatric Urology, Seoul National University Children's Hospital, 101 Daehak-no, Jongno-gu, Seoul, 03080, Korea.
| | - Kyu-Chang Wang
- Center for Rare Cancers, Neuro-Oncology Clinic, National Cancer Center, 323 Ilsan-ro, Ilsandong-gu, Goyang, Gyeonggi-do, 10408, Korea.
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Eliezer D, Deshpande AV, Starkey MR, Samnakay N, Oldmeadow C, Kernohan A. Alpha blockers for treating functional daytime urinary incontinence in children. Hippokratia 2019. [DOI: 10.1002/14651858.cd013313] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Dilharan Eliezer
- John Hunter Children's Hospital; Newcastle New South Wales Australia
- University of Newcastle; School of Medicine and Public Health, Faculty of Health and Medicine; Callaghan Newcastle Australia
| | - Aniruddh V Deshpande
- John Hunter Children's Hospital; Newcastle New South Wales Australia
- University of Newcastle; Priority Research Centre, GrowUpWell; New Lambton Heights Newcastle Australia
| | - Malcolm R Starkey
- University of Newcastle; Priority Research Centre, GrowUpWell; New Lambton Heights Newcastle Australia
- The University of Newcastle and Hunter Medical Research Institute; School of Biomedical Sciences and Pharmacy, Faculty of Health and Medicine; Room 2408, HMRI, Lot 1 Kookaburra Circuit New Lambton Heights NSW Australia 2305
| | - Naeem Samnakay
- Princess Margaret Hospital; Department of Surgery; Roberts Road Subiaco Australia WA 6008
| | | | - Ashleigh Kernohan
- Newcastle University; Institute of Health & Society; Baddiley-Clark Building, Richardson Road Newcastle upon Tyne UK NE2 4AA
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Moiseev AB, Mironov AA, Kolbe OB, Vartapetova EE, Polunina VV, Al Sabunchi AA, Polunin VS, Buslaeva GN. Urinary disorders and bladder-bowel dysfunction in children: approaches to diagnosis, treatment and prevention. BULLETIN OF RUSSIAN STATE MEDICAL UNIVERSITY 2018. [DOI: 10.24075/brsmu.2018.067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Pediatric urinary disorders manifested as urinary incontinence, compelling urges to urinate, etc. remain an important problem of contemporary healthcare. In spite of being extensively covered in the literature, urinary disorders, including enuresis, still present a diagnostic challenge to the physicians of primary healthcare facilities. Based on the findings of our retrospective study that revealed discrepancies between referral and final diagnoses of pediatric urinary disorders, we give recommendations to both physicians of primary healthcare facilities and their inpatient care colleagues that will help them to arrive at the correct diagnosis of a urinary disorder or concomitant bladder-bowel dysfunction using the proposed diagnostic algorithm.
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Affiliation(s)
- AB Moiseev
- Faculty of Pediatrics, Pirogov Russian National Research Medical University, Moscow, Russia
| | - AA Mironov
- Faculty of Pediatrics, Pirogov Russian National Research Medical University, Moscow, Russia
| | - OB Kolbe
- Faculty of Pediatrics, Pirogov Russian National Research Medical University, Moscow, Russia
| | - EE Vartapetova
- Faculty of Pediatrics, Pirogov Russian National Research Medical University, Moscow, Russia
| | - VV Polunina
- Faculty of Pediatrics, Pirogov Russian National Research Medical University, Moscow, Russia
| | - AA Al Sabunchi
- Faculty of Pediatrics, Pirogov Russian National Research Medical University, Moscow, Russia
| | - VS Polunin
- Faculty of Pediatrics, Pirogov Russian National Research Medical University, Moscow, Russia
| | - GN Buslaeva
- Faculty of Pediatrics, Pirogov Russian National Research Medical University, Moscow, Russia
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Karimbayev K, Dzumanazarov N, Akhaibekov M, Berdikulov N, Karimbayev A, Mustafayev A. Pelvic dystopia of right rudimentary multicystic dysplastic kidney as a rare cause of bedwetting in a patient with a single pelvic ectopic left kidney, and agenesis of the uterus and vagina (Mayer-Rokitansky-Küster-Hauser syndrome): a case report. J Med Case Rep 2018; 12:121. [PMID: 29730988 PMCID: PMC5937041 DOI: 10.1186/s13256-018-1644-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Accepted: 03/05/2018] [Indexed: 12/04/2022] Open
Abstract
Background Pelvic dystopia of rudimentary multicystic dysplastic kidney as a rare cause of bedwetting in children. Case presentation We report the case of a 14-year-old Kazakh girl who presented with difficulty in starting the stream of urine and intermittent interruption of the urinary stream while voiding as well as bedwetting, caused by a rare congenital disease (pelvic dystopia of rudimentary multicystic dysplastic kidney). The diagnostic workup, differential diagnosis, and management, and a review of the literature are presented. Persistent since she was 2 years old, bedwetting was stressful for both the parents and child. Initially detected radiologically and endoscopically, a bladder mass was thought suspicious for ureterocele, papilloma, or mixed tumor of the urinary bladder, but surprisingly, turned out to be a pelvic dystopia of the rudimentary multicystic dysplastic kidney. Transvesical excision of this mass was performed. Conclusions The purpose of this case report is to draw attention to the fact that a persistent case of bedwetting which does not respond to conventional therapy should be subject to further examinations to exclude surgical causes of the disease.
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Affiliation(s)
- Kidirali Karimbayev
- Department of Surgery, Akhmet Yassawi International Kazakh-Turkish University Medical School, Turkestan, Kazakhstan.
| | - Nazarbek Dzumanazarov
- Pathology Department, Akhmet Yassawi International Kazakh-Turkish University, Medical School, Turkestan, Kazakhstan
| | - Mukhtar Akhaibekov
- AkhmetYassawi International Kazakh-Turkish University, Clinical Diagnostic Center, Turkestan, Kazakhstan
| | - Nurzhan Berdikulov
- AkhmetYassawi International Kazakh-Turkish University, Clinical Diagnostic Center, Turkestan, Kazakhstan
| | | | - Assanaly Mustafayev
- AkhmetYassawi International Kazakh-Turkish University, Clinical Diagnostic Center, Turkestan, Kazakhstan
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van Leuteren PG, de Vries BA, de Joode-Smink GCJ, ten Haken B, de Jong TPVM, Dik P. URIKA, continuous ultrasound monitoring for the detection of a full bladder in children with dysfunctional voiding: a feasibility study. Biomed Phys Eng Express 2017. [DOI: 10.1088/2057-1976/aa589f] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Crowder D, Gutmann L, Pergami P. Urinary incontinence in children as a sign of neurological disorders: need for a high index of suspicion. Clin Pediatr (Phila) 2014; 53:1291-4. [PMID: 24480813 PMCID: PMC4419037 DOI: 10.1177/0009922814521286] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
| | | | - Paola Pergami
- Department of Pediatrics, West Virginia University School of Medicine, Morgantown, WV, USA
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Naseri M. Lower Urinary Tract Urological Abnormalities and Urodynamic Findings of Physiological Urinary Incontinence Versus Non-mono Symptomatic Nocturnal Enuresis in Children. Nephrourol Mon 2014; 6:e15360. [PMID: 24783173 PMCID: PMC3997942 DOI: 10.5812/numonthly.15360] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2013] [Accepted: 11/26/2013] [Indexed: 01/23/2023] Open
Abstract
BACKGROUND Although 98% of children attain daytime bladder control by three years of age, urinary incontinence is regarded physiological up to the fifth year of life. OBJECTIVES This study aimed to assess whether lower urinary tract urological abnormalities and abnormal urodynamic findings are infrequent in children with physiological urinary incontinence in contrast to those with non-monosymptomatic nocturnal enuresis (NMNE). PATIENTS AND METHODS During a three-year period (2007-2009), 66 neurologically normal children including 51 children (34 girls, 17 boys) older than five years of age with NMNE and intermittent daytime incontinence, and 15 children with physiological urinary incontinence (eight girls and seven boys) aged four to five years of age without any known urological abnormalities were enrolled in the study. Patients with neurologic deficits or known urological anomalies were excluded from the study. Kidney-bladder ultrasonography, voiding cystourethrography (VCUG), and urodynamic studies were performed to evaluate the anatomy of urinary tract and bladder function. RESULTS Urinary tract infection was found in 23 (34.8%) children, 17 (33.3%) and 6 (40%) patients with NMNE and physiological urinary incontinence, respectively. Out of 48 patients who underwent VCUG, vesicoureteral reflux (VUR) was found in seven and eight children younger and older than five years of age, respectively. Abnormal urodynamic findings were reported in 5 (62.5%) of eight children younger than five-year-old, and 14 (63.6%) of 22 patients older than 5-year-old. CONCLUSIONS VUR might be more frequent in children with physiological urinary incontinence than the normal population, and might be as common as NMNE with intermittent daytime incontinence.
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Affiliation(s)
- Mitra Naseri
- Pediatric Nephrology Department, Dr. Sheikh Children Hospital, Mashhad University of Medical Sciences, Tehran, IR Iran
- Corresponding author: Mitra Naseri, Pediatric Nephrology Department, Dr Sheikh Children Hospital, Mashhad University of Medical Sciences, Naderi Avenue, Taabodi Street, Mashhad, IR Iran. Tel: +98-5117269021; Ext: 25, Fax: +98-5117273943, E-mail:
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Patra PB, Patra S. Sex differences in the physiology and pharmacology of the lower urinary tract. Curr Urol 2013; 6:179-88. [PMID: 24917740 DOI: 10.1159/000343536] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2012] [Accepted: 12/04/2012] [Indexed: 12/13/2022] Open
Abstract
Sexual dimorphism is not only noticed in the prevalence of many diseases, but also in multiple physiological functions in the body. This review has summarized findings from published literature on the sex differences of the pathophysiology and pharmacology of the lower urinary tract (LUT) of humans and animals. Sex differences have been found in several key areas of the LUT, such as overactive bladder, expression and function of neurotransmitter receptors in the bladder and urethra, and micturition patterns in humans and animals. It is anticipated that this review will not only evoke renewed interest for further research on the mechanism of sex differences in the pathophysiology of the LUT (especially for overactive bladder), but might also open up the possibilities for gender-based drug development by pharmaceutical industries in order to find separate cures for men and women with diseases of the LUT.
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Abstract
Bladder dysfunction in children is a very common and heterogeneous problem. There can be disturbances either in bladder storage or during voiding phases. First of all it is important to distinguish between non-neurogenic and neuropathic bladder dysfuction. In this article the most common causes, the basic diagnostic evaluation and therapeutic interventions are summarized.
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