Modification of therapy based on videourodynamics in neurologically normal children: Southampton 1988-1993.

OBJECTIVE: To follow up a previously investigated group of enuretic children to assess their current situation and to determine if their previous treatment was appropriate. PATIENTS AND METHODS: A group of 57 neurologically normal, enuretic children (mean age 10 years) were followed for a mean of 19 months (range 3-54) after the establishment of a working diagnosis with videourodynamics. Many of these children had previously been under medical follow-up for long periods with no change in their enuresis. Depending on the urodynamic diagnosis, a therapeutic strategy was instigated and continued for an appropriate duration. Normal children were simply reassured.
RESULTS: Currently, 44 patients (77%) are completely or very nearly dry.
CONCLUSION: Videourodynamics, although a traumatic procedure, provides information unobtainable from other sources. Treatment based on this information gives good results and may prevent years of unnecessary or inappropriate therapy, and psychological problems. Ambulatory studies may yield more useful information.