The Endoscopic Morphological Features of Congenital Posterior Urethral Obstructions in XXXX with Refractory Daytime Urinary Incontinence and Nocturnal Enuresis.

@entity1 @entity322 @entity75 @entity340 @entity11044
UNASSIGNED: Purpose   This study aims to evaluate the endoscopic morphological features of @entity11044 in @entity1 with refractory daytime @entity322 and/or nocturnal enuresis. @entity1 and Methods   A total of 54 consecutive @entity1 underwent endoscopy and were diagnosed with a @entity340 ( @entity340 ) (types 1-4). @entity340 type 1 was classified as severe, moderate, or mild. A transurethral incision (TUI) was mainly performed for anterior wall lesions of the @entity340 . Voiding cystourethrography and pressure flow studies (PFS) were performed before and 3 to 4 months after TUI. Clinical symptoms were evaluated 6 months after TUI, and outcomes were assessed according to PFS waveform pattern groups (synergic pattern [SP] and dyssynergic pattern [DP]). Results   All @entity1 had @entity340 type 1 and/or 3 (i.e., n   =   34 type 1, 7 type 3, and 13 types 1 and 3). There were severe (n   =   1), moderate (n   =   21), and mild (n   =   25) cases of @entity340 type 1. According to PFS, SP and DP were present in 43 and 11 @entity1 , respectively. TUI was effective in the SP group and symptoms improved in 77.4 and 69.3% of @entity1 with daytime @entity322 and nocturnal enuresis, respectively. Almost no effect was observed in the DP group. A significant decrease in the detrusor pressure was observed at maximum flow rate using PFS in the SP group. Conclusions   @entity340 type 1 encompassed lesions with a spectrum of obstructions ranging from severe to mild, with mild types whose @entity75 existed at the anterior wall of urethra occurring most frequently in @entity1 with refractory daytime @entity322 and/or nocturnal enuresis.
