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

PURPOSE: 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. PATIENTS AND METHODS: A total of 20 boys with daytime incontinence were assessed. Twelve boys und...

Descripción completa

Detalles Bibliográficos
Autores principales: Morizawa, Yosuke, Aoki, Katsuya, Hori, Shunta, Gotoh, Daisuke, Miyake, Makito, Nakai, Yasushi, Torimoto, Kazumasa, Tanaka, Nobumichi, Fujimoto, Kiyohide
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2020
Materias:
Original Research
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7381088/
https://www.ncbi.nlm.nih.gov/pubmed/32766174
http://dx.doi.org/10.2147/RRU.S254159
Descripción
Sumario:PURPOSE: 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. PATIENTS AND METHODS: 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. RESULTS: 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). CONCLUSION: TUI might be not effective in boys with refractory daytime incontinence.

Ejemplares similares