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J Nephropathol. 2012;1(3): 183-187.
doi: 10.5812/nephropathol.8120
PMID: 24475413
PMCID: PMC3886147
Scopus ID: 84924980510
  Abstract View: 2892
  PDF Download: 1061

Original Article

Correlation between sacral ratio and primary enuresis

Parsa Yousefi 1, Mohammadreza Firouzifar 2 * , Ali Cyrus 3

1 Department of Pediatrics, School of Medicine, Arak University of Medical Sciences, Arak, Iran.
2 Student Research Committee, Arak University of Medical Sciences, Arak, Iran.
3 Department of Urology, School of Medicine, Arak University of Medical Sciences, Arak, Iran.
*Corresponding author: Dr. Mohammadreza Firouzifar, Student Research Committee, Arak University of Medical Sciences, Arak, Iran. Telephone: +98 913 266 0341, Fax: +98 861 417 3639, dr.firouzifar@arakmu.ac.ir

Abstract

Background: Enuresis is defined as the repeated voiding of urine into clothes or bed at least twice a week for at least 3 consecutive months in a child who is at least 5 yr of age and has a high prevalence in school aged children. In primary enuresis (PE) children have never gained control over urination or has been dry for<6months. While in secondary enuresis children have developed incontinence after a period of at least 6 months of urinary control.

Objectives: The aim of this study was to investigate a possible relation between PE and sacral ratio (SR) in 5-9 aged children.

Patients and Methods: 118 children with aged 5-9 year were enrolled in this case-control study. All them were divided into two aliquots groups of 59 patients. The case study (children with PE) and the control (children without PE) groups were matched in age and sex. SR based on antero-posterior plain radiograms of pelvis was calculated. Results were then analyzed using Chi square and student t-test as appropriate.

Results: There were no significant differences between the two groups regarding age and gender. Mean SR in case and control group was 0.89 and 0.90, respectively. Moreover, there was no significant difference between the two groups (p=0.82). Only 1 child (1.6%) in case group showed abnormal SR while this was 7 children (11.9%) in the control group.

Conclusions: This study showed that, there was no significant difference between children with PE and those without PE in terms of SR. However, multicenter and larger sample size is recommended for definite decision of this finding.

Keywords: Sacral ratio, Sacral abnormalities, Enuresis, Child

Implication for health policy/practice/research/medical education:

To investigate a possible relation between Primary Enuresis (PE) and Sacral Ratio (SR) in 5-9 aged children, a study was conducted on 118 children within these ages. This study showed that, there was no significant difference between children with PE and those without PE in terms of SR. Multicenter and larger sample size is recommended for definite decision of this finding.

Please cite this paper as: Yousefi P, Firouzifar MR, Cyrus A. Correlation between sacral ratio and primary enuresis. J Nephropathology. 2012; 1(3): 183-187. DOI: 10.5812/nephropathol.8120

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Revision: 12 Aug 2012
ePublished: 01 Jan 2013
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