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KMID : 0811820070110020272
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Journal of Korean Society of Pediatric Nephrology
2007 Volume.11 No. 2 p.272 ~ p.279
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Clinical Parameters Predicting Responsiveness to Treatment in Enuresis Patients
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Lee Kang-Gyoon
Lee Hyun-Jung
Lim Yun-Ju
Kwon Duck-Geun
Kim Eun-Jin
Pai Ki-Soo
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Abstract
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Purpose : We tried to find out the clinical parameters which predict the outcome of treatment in children with enuresis.
Methods : Enuresis patients who visited our hospital during 2003-2007 were included. Parameters such as age, gender, height, weight, minimal voided volume, maximal voided volume, maximum functional bladder capacity, frequency of voiding, urine S,G. before and after sleep were measured and an enuresis diary was also recorded. The reduction in wetting frequencies were classified into three groups; none(<50%), partial(50-90%) and complete(90%) response groups. We also compared the ’initial responders’ who showed improvement(> or =50%) during the 2 weeks of evaluation and behavioral therapy to the ’initial non-responders’.
Results : Parameters mentioned above showed no significant relation to the treatment outcome. The response rate during the 2 weeks of the evaluation period was 32%(49/151) [complete in 1.3%(2/151), partial in 29.6%(47/151)]. Two-months’ treatment responses were complete in 14(40%), partial in 19(54.3%) and none in 2(5.9%) responders(n=35), while they were 10(13.5%), 46(62.2%) and 18(24.3%), respectively in the non-responders(n=73)(P<0.05).
Conclusion : We suggest that initial ’responsiveness’ can be used as a predictor for good treatment outcome in patients with enuresis.
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KEYWORD
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Enuresis frequency, Initial responders, Treatment response, Urine specific gravity, Behavioral therapy
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