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

Authors Morizawa Y, Aoki K, Hori S, Gotoh D, Miyake M, Nakai Y, Torimoto K, Tanaka N, Fujimoto K

Received 16 March 2020

Accepted for publication 8 July 2020

Published 20 July 2020 Volume 2020:12 Pages 273—277


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Editor who approved publication: Dr Jan Colli

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

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

Correspondence: Kiyohide Fujimoto
Department of Urology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara 634-8522, Japan
Tel +81-744-22-3051
Fax +81-744-22-9282

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: pediatric, daytime incontinence, enuresis, TUI

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