Pediatric Enuresis Research Articles

Precision and sensitivity of the short-form pediatric enuresis module to assess quality of life (PEMQOL)

Purpose To evaluate a derived short-form version of the Pediatric Enuresis Module to assess Quality of Life (PEMQOL) Child and Family Impact Scales, a survey intended for use in clinical practice and research as a means of continuous monitoring of the impacts of enuresis on the child and family. Materials and methods The full-length PEMQOL was completed by parents in two clinical trials ( n = 143 and n = 397, respectively) and for children receiving care at five specialty clinics ( n = 208). The short-form scales were derived using regression and factor analysis. Multitrait scaling analysis was used to evaluate item internal consistency and discriminant validity. Reliability was estimated using Cronbach's alpha. Clinical validity was computed by comparing the proportion of variance explained by the short-form scales relative to their respective full-length versions. Differences in scores were examined by: (1) less wetting episodes, (2) number of pads used and (3) changes over time. Results and conclusions The Child and Family Scales were reduced from 14 to 7 items and 17 to 9 items, respectively. Eighty six percent (median) of items in the Child Scale and 100% in the Family Scale met item level scaling criteria. Median alpha coefficients across seven sub-samples were 0.72 and 0.76, respectively. Relative validity estimates for the Family Scale ranged from 2.66 to 0.87. Findings for the Child Scale were lower and ranged from 0.78 to 0.54.

Individualised doses of desmopressin are successful in paediatric nocturnal enuresis

Individualised doses of desmopressin are successful in paediatric nocturnal enuresis

Cystometry in paediatric enuresis.

In 63 cases of paediatric enuresis of both functional and organic type cystometry was carried out using a modern pressure recording technique. The patients have been divided into 3 groups from their history and clinical findings. The findings from the cystometrogram have been divided into 5 main groups. To determine whether cystometry can give further information these 2 groupings have been correlated with one another. The conclusion reached is that cystometry can give valuable information in all cases of X-ray suspected or verified bladder obstruction and in all cases of reduced bladder capacity with negative clinical findings.