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

Yosuke Morizawa; Katsuya Aoki; Shunta Hori; Daisuke Gotoh; Makito Miyake; Yasushi Nakai; Kazumasa Torimoto; Nobumichi Tanaka; Kiyohide Fujimoto

doi:10.2147/RRU.S254159

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

Res Rep Urol. 2020 Jul 20:12:273-277. doi: 10.2147/RRU.S254159. eCollection 2020.

Authors

Yosuke Morizawa¹, Katsuya Aoki¹, Shunta Hori¹, Daisuke Gotoh¹, Makito Miyake¹, Yasushi Nakai¹, Kazumasa Torimoto¹, Nobumichi Tanaka¹, Kiyohide Fujimoto¹

Affiliation

¹ Department of Urology, Nara Medical University, Kashihara, Nara, Japan.

Abstract

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.

Keywords: TUI; daytime incontinence; enuresis; pediatric.