An epidemiological study of enuresis in Korean children

Lee, S.D.; Sohn, Dong Wan; Lee, J.Z.; Park, N.C.; Chung, Man-Kin

doi:10.1046/j.1464-410x.2000.00617.x

Cited by 132 publications

(111 citation statements)

References 19 publications

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“…In European countries enuresis has been reported to occur in 9-19% of children at 5 years old, in 7-22% at 7 years and in 5-13% at 10 years [1]. A similar value has been reported in children in eastern countries [2]. In Italy a multicentre epidemiological survey, which recruited 9086 schoolchildren aged 6-14 years, found an overall incidence of NE of 3.8%, which progressively decreased from 8.1% and 9.6% at 6 years old, in males and females respectively, to 1.2% at 13 years old [3].…”

Section: Introductionsupporting

confidence: 66%

“…Data from several studies show that NE can have far-reaching consequences on the individual, including effects on self-perception, with reduced self-esteem [5,6], interpersonal behaviour, sexual activity and quality of life [7]. Persistent bedwetting may compromise the relationship between parents and children, with parents feeling anxious, guilty and eventually experiencing loss of confidence in their parental skills, and children losing self confidence, having difficulties in making friends and under-achieving at school [2,8]. Enuresis can be dramatically distressing as age increases; adult enuretics report being reluctant to go on holidays or staying away overnight (33%), that bedwetting is a terrible experience (40%), that it has a major influence in their life (32%), and complicates their relationships (23%) [9].…”

Section: Introductionmentioning

confidence: 99%

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Nocturnal enuresis in the adolescent: a neglected problem

Nappo

Gado²,

Chiozza

et al. 2002

BJU International

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Objective To assess the features of adolescent bedwetters, as few data are available on enuresis in this age group. Patients and methods A specific database for adolescents and young adults was created with the collaboration of various specialists (paediatricians, urologists, gynaecologists, psychiatrists). Questions focused on family and personal history, stressful events, age of attaining urinary and fecal control, characteristics of enuresis (primary vs secondary, monosymptomatic vs enuresis associated with daytime urinary symptoms), school performance, diagnostic examination and physical examinations, and treatment and its response. Results Data were collected from 107 enuretic adolescents (mean age 15.3 years, median 14, range 13-23; 63 males and 44 females). A positive family history for enuresis was recorded in 82%. Enuresis was primary in 79 patients (74%), secondary in 28 (26%), monosymptomatic in 76 (71%) and associated with daytime urinary symptoms in 31 (29%). In males monosymptomatic enuresis was significantly more frequent than in females ( P < 0.01). Urinary tract infections were reported by 13 patients, all females; eating disorders (anorexia, polyphagia) were present in six. In 85 patients (80%) enuresis was considered severe ( ≥ three nights/week). Of the 107 patients, 27 (20%) had never consulted a doctor about their problem and 43 (40%) had received no therapy; 66 received desmopressin monotherapy, with a good response (half the number of wet nights) in 44 (79%). There was no relation between response to desmopressin and gender, age, type and severity of enuresis or positive family history of enuresis. Eight patients were provided with a nocturnal alarm but this was not tolerated by two. Altogether, 25 patients refused any therapy or did not comply with the given therapy. Conclusions Enuresis can persist into adolescence and be a significant problem; 80% of these patients had severe enuresis and 31% also had associated daytime urinary symptoms, with 40% receiving no previous therapy. The treatment of enuresis can be particularly difficult at this age; 22% of patients did not respond to desmopressin and 23% had low compliance with the given therapy. Enuresis in adolescents requires further study; hopefully more enuretic children will receive adequate treatment before reaching adolescence.

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Section: Introductionsupporting

confidence: 66%

Section: Introductionmentioning

confidence: 99%

Nocturnal enuresis in the adolescent: a neglected problem

Nappo

Gado²,

Chiozza

et al. 2002

BJU International

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“…A similar trend was also observed in enuretic normal children [26][27][28][29][30]. The effect of gender on the prevalence rate of NE was reported by 12 studies.…”

Section: Introductionsupporting

confidence: 76%

“…Boys were reported by 10 studies to have higher prevalence rate than girls [6,[9][10][11][12]15,16,[19][20][21], equal rates in both sexes was reported by one study [13] and one study reported a higher rate in females [17]. These findings are similar to those reported in normal children with NE [28,[30][31][32][33][34][35]. According to Bottomley et al [36] NE in normal children is twice more common in boys than girls up to the age of nine years, but thereafter there is no gender difference in prevalence [36].…”

Section: Introductionsupporting

confidence: 63%

Nocturnal Enuresis in Children and Adolescent with Sickle cell Anemia

Ahmed¹

2017

Med Surg Urol

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Children with sickle cell anemia (SCA) have a tendency to have nocturnal enuresis (NE) more than normal children with males being more affected than females. Mechanisms of NE that operate in normal children probably do so in children with SCA. Postulated causes of nocturnal enuresis in individuals with SCA include hyposthenuria causing nocturnal polyuria, reduced bladder capacity or nocturnal bladder overactivity, sleep disordered breathing and an increased arousal thresholds. The variation in the reported prevalence rate of NE in SCA is probably due to differences in definition criteria and methodology. This review will discuss the prevalence rate and postulated causes of NE in children with SCA.

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“…고신대학교, 2 부산대학교, 3 인제대학교, 4 전남대학교, 5 울산대학교 의과대학 비뇨기과학교실, 6 부산대학교 의과대학 소아청소년과학교실, 7 울산대학교 의과대학 강릉아산병원 비뇨기과학교실, 8 고려대학교, 9 성균관대학교, 10 영남대학교 의과대학 비뇨기과학교실, 11 아주대학교 의과대학 소아청소년과학교실, 12 가톨릭대학교 의과대학 비뇨기과학교실, 13 한림대학교 의과대학 소아청소년과학교실, 14 동아대학교 의과대학 비뇨기과학교실, 15 충북대학교 의과대학 소아청소년과학교실, 16 연세대학교 의과대학 비뇨기과학교실, 17 (Table 5). …”

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The Prevalence and Risk Factors of Overactive Bladder in Korean Children: A Comparative Analysis according to Definition

et al. 2008

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Purpose:We wanted to estimate the prevalence and risk factors of overactive bladder (OAB) in Korean children who were 5-13 years of age, according to the definition of OAB. Materials and Methods: A randomly selected cross-sectional study was conducted on 26 kindergartens and 27 elementary schools nationwide in Korea. There were 19,240 children; a parent was asked to complete the questionnaires, which included items about OAB and the children's voiding and defecating habits. OAB was defined as urgency with or without urge incontinence, and usually with an increased daytime frequency and nocturia (ICCS 2006, group A) or an increased daytime frequency (＞8 times/day) and/or urge urinary incontinence with or without urgency (group B); its prevalence and associated factors were investigated. Results: The response rate for the questionnaires was 85.84%. The overall prevalence of OAB was 16.59% (group A) and 18.79% (group B). For groups A and B, the prevalence of OAB decreased with age from 22.89% to 12.16% and from 40.44% to 9.60%, respectively (p=0.0001). The overall rate of wet and dry OAB was 26.97% and 73.03%, respectively. Compared to the normal group, the children with OAB had a higher prevalence of nocturnal enuresis (NE), constipation, fecal incontinence, a history of urinary tract infection and delayed bladder control in both groups A and B (p＜0.05). The rate of increased daytime frequency and urge incontinence were 3.69% and 2.31% (p=0.009), and 26.97% and 14.78% (p=0.0001) in group A and for the non-OAB children, respectively; their prevalence in group A decreased with age from 5.04% to 3.06% and from 45.74% to 18.50%, respectively (p=0.0001). Conclusions:The overall prevalence of OAB in group A for Korean children 5-13 years of age was similar to that in group B. However, the range of prevalence in group B was much more variable than that in group A. NE, constipation, fecal incontinence, a history of urinary tract infection and delayed bladder control may be risk factors for OAB in children.

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An epidemiological study of enuresis in Korean children

Cited by 132 publications

References 19 publications

Nocturnal enuresis in the adolescent: a neglected problem

Nocturnal enuresis in the adolescent: a neglected problem

Nocturnal Enuresis in Children and Adolescent with Sickle cell Anemia

The Prevalence and Risk Factors of Overactive Bladder in Korean Children: A Comparative Analysis according to Definition

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