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This study aimed to investigate the association between meatal stenosis and primary nocturnal enuresis severity, and evaluated therapeutic outcomes following surgical correction.
Primary nocturnal enuresis (PNE) is a prevalent pediatric condition characterized by involuntary urination during sleep in children aged five years or older who have never achieved consistent nighttime dryness. The prevalence of PNE decreases with age, affecting approximately 15% of five-year-old and decreasing to 1-2% by adolescence.
Meatal stenosis, defined as the pathological narrowing of the urethral meatus, is an underexplored potential factor. This condition is known to cause obstructed urinary flow, incomplete bladder emptying, and increased bladder pressure, all of which may contribute to enuresis.
The incidence of meatal stenosis is higher in circumcised males but can also occur in uncircumcised males and females due to inflammation, trauma, or infection
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study group | Patients who underwent meatoplasty. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Meatoplasty Primary nocturnal enuresis. | Procedure | Patients diagnosed with primary nocturnal enuresis. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Association between Meatal Stenosis and primary nocturnal enuresis | Association between Meatal Stenosis and primary nocturnal enuresis was assessed to determine whether there is a significant relationship between the presence of meatal stenosis and the occurrence of primary nocturnal enuresis in male children aged 7-12 years. | 3 years from collecting the data from the database |
| Measure | Description | Time Frame |
|---|---|---|
| Resolution of primary nocturnal enuresis post-meatoplasty | Resolution of primary nocturnal enuresis post-meatoplasty was assessed to assess the effectiveness of meatoplasty in resolving primary nocturnal enuresis in children with meatal stenosis. | 3 years from collecting the data from the database |
| Need for Revision Meatoplasty |
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Inclusion Criteria:
Exclusion Criteria:
Males diagnosed with primary nocturnal enuresis
This retrospective study population includes male children aged 7-12 years who presented with primary nocturnal enuresis at a pediatric urology clinic between October 2022 and December 2024.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| New Valley University | New Valley | Cairo Governorate | 72511 | Egypt |
The data will be available upon a reasonable request from the corresponding author after the end of study for one year.
The data will be available upon a reasonable request from the corresponding author.
After the end of study for one year.
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Need for Revision Meatoplasty was assessed in patients due to persistent or recurrent meatal stenosis after the initial surgery. |
| 3 years from collecting the data from the database |
| Prevalence of Meatal Stenosis in primary nocturnal enuresis patients | Prevalence of Meatal Stenosis in primary nocturnal enuresis patients was assessed among children diagnosed with primary nocturnal enuresis within the study period (2021-2024). | 3 years from collecting the data from the database |
| Incidence of complications | Any complications or adverse events following meatoplasty, including infection, scarring, or urinary retention were recorded. | 3 years from collecting the data from the database |