Outcome of a standardized approach to childhood urinary symptoms-long-term follow-up of 720 patients

Aims To investigate the relevance of enuresis subtyping for selection of treatment modality and for long‐term outcome in a large consecutive patient cohort. Materials and Methods We included all patients referred for urinary incontinence during a 5‐year period but excluding recurrent urinary tract infections (UTI). Type and severity of incontinence, prior history, results of examinations performed, number of visits, and effect of all treatments provided, were included in a clinical database. Results Seven hundred twenty children aged 4–16 years (mean 8.5 ± 2.2 years, 239 girls) were included in the analysis (42% with monosymptomatic (MNE), 55% with non‐MNE, and 3% with isolated daytime incontinence). Initial evaluation revealed only few underlying causes (one neurological and eight anatomical). Investigations showed significant differences between MNE and non‐MNE patients as both maximal voided volume and nocturnal urine volume was lower in non‐MNE patients (P