Covid19 pandemisinin gölgesinde inkontinans ve enürezis hakkında retrospektif bir çalışma
Amaçlar: Üriner inkontinans idrarın istemsiz kaçışıyken enürezis ise uykuda idrar kaçırma anlamına gelmektedir. Enürezis ve/veya inkontinans, ailelerin bir hekimin yardımına ihtiyaç duydukları yaygın sorunlardan biridir. Bu çalışmada, Covid19 pandemisinin başlangıcından itibaren peditrik nefroloji polikliniğine enürezis ve/veya inkontinans nedeniyle başvuran hastaları değerlendirmeyi amaçladık.
Yöntemler: “Organik olmayan enürezis” ve “Üriner inkontinans” ICD kodlarına sahip hastaları retrospektif olarak değerlendirdik. Hastanemizin tıbbi kayıt sisteminde kayıtlı detaylı anamnezi bulunan 204 hasta çalışma grubu olarak seçildi. Hastaların klinik verilerini, laboratuvar ve görüntüleme testlerini hastaları Grup A (primer enürezis nokturna) ve Grup B (disfonksiyonel işeme, sekonder enürezis, mesane ve barsak disfonksiyonu vb diğer enürezis ve inkontinans tipleri) olarak iki gruba ayırarak karşılaştırdık.
Bulgular: 204 hastanın 97’si erkek(%47.5), 107’si kızdı (52.5%). Hastaların ortalama yaşı 9.1 (±3.05) idi. Ortalama tuvalet eğitimi yaşı 2.5 (±0.8) (min-max: 1,5-5) idi. 104 hasta primer enürezis nokturna (%51), 37 hasta (%18.1) disfonksiyonel işeme, 22 hasta (%10.8) sekonder enürezis, 14 hasta (%6.9) enürezis diürna, 12 hasta (5.9%) aşırı aktif mesane olarak tanı aldı. Hastaları Grup A (primer enürezis nokturna) ve Grup B (disfonksiyonel işeme, sekonder enürezis, mesane ve barsak disfonksiyonu vb diğer enürezis ve inkontinans tipleri) olarak iki gruba ayırdık. Grup A’nın ortalama yaşı Grup B ile karşılaştırıldığında anlamlı olarak daha yüksekti (9.57 (± 2.78) vs. 8.67 (±3.27), p=0.036). Grup A’da erkek/kız oranı 61/43 iken Grup B’de erkek/kız oranı 36/64 idi (p
A retrospective study about incontinence and enuresis in the shadow of Covid19 pandemic
Aim: Enuresis and/or incontinence are one of the most common problems that families seek professional help. In this study we wanted to evaluate the patients who applied to pediatric nephrology outpatient clinics with enuresis and/or urinary incontinence during Covid19 pandemic.
Methods: We retrospectively evaluated the patients with the ICD diagnoses of “Non-organic enuresis” and “Urinary incontinence”. The data regarding two hundred and four patients were analyzed and compared via dividing them into two groups as Group A (Primary enuresis nocturna) and Group B (other enuresis and incontinence types such as dysfunctional voiding, secondary enuresis, bladder and bowel dysfunction etc.).
Results: Mean age was significantly higher in Group A when compared with Group B (9.57 (± 2.78) vs. 8.67 (±3.27), p=0.036). In Group A male/female ratio was 61/43, in Group B male/female ratio was 36/64 (p
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