ESPN 51th Annual Meeting

ESPN 2018


 
Our experience in treatment of lower urinary tract dysfunction in children from 2006-2016
SONJA GOLOB JANCIC 1 Martina Filipic 1 NataĊĦa Marcun Varda 1 Mladen Crnobrnja 1

1- University Medical Centre Maribor, Division of Paediatrics, Unit for nephrology and arterial hypertension
 
Introduction:

 

Voiding disorders are common pathology in children. The aim of our study was to retrospectively evaluate the characteristics of patients referred to our Department of Paediatrics with this pathology and our success in treating them in the 10-year period between 2006 and 2016.

 

Material and methods:

 

We made a retrospective search of all patients with urine incontinence referred to our Department in the years 2006-2016. After exclusion criteria, we examined patient´s characteristics in 604 patients and evaluated treatment strategy and treatment success in 440 who made more than one visit. Success evaluation is concordant to International Children’s Continence Society standardisation document, according to wet night reduction in percentage: no success (<50%), partial success (50-99%) complete success (100%).  We tried to evaluate treatment method or combination of treatment methods used in a patient.

 

Results:

 

Average age of all 604 patients was 7.18 years (±2.62). On their last visit, patients had on average 7.9 wet nights a month (median 2 nights a month). 37.0% had complete success, 37.5% had partial success and 25.5% had no success. Average success in decline of wet nights was 69.1%. Combination of urotherapy and desmopressin has been the most widely used treatment method and most successful in our study. We found statistical significant difference in urotherapy and urotherapy with parental waking being superior to treatment with alarm.

 

Conclusions:

Our cohort is comparable to the literature according to both patient´s characteristics and treatment success. Lack of data and patient´s compliance are the main problems in evaluating treatment success.  The purpose of this evaluation was to define the current state and upgrade our clinical practice. Prospective randomized study should be made to better evaluate our clinical work.