Arousal and Nonarousal Enuretic Events

Ritvo, Edward; Ornitz, Edward M.; Gottlieb, Fred; Poussaint, Alvin F.; Maron, Barry J.; Ditman, Keith S.; Blinn, Kenneth A.

doi:10.1176/ajp.126.1.77

Cited by 63 publications

(10 citation statements)

References 11 publications

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“…The relationship between wetting and EEG sleep state is not clear. Some studies report that wetting occurs more often during ‘stage 4’ or ‘slow wave sleep’ and rarely during REM sleep ( Pierce et al, 1961 , Ritvo et al, 1969 ) but others have failed to detect a relationship ( Mikkelsen et al, 1980 , Inoue et al, 1987 , Bader et al, 2002 ), while another study reported that wetting occurred primarily during periods of very deep sleep ( Wolfish et al, 1997 ). In line with the latter findings a more recent study using sophisticated EEG power analysis in adolescents and adults with primary nocturnal enuresis revealed an abnormally deep sleep in enuretics who, when water loaded prior to sleeping, failed to be roused and voided while continuing to sleep ( Hunsballe, 2000 ).…”

Section: Discussionmentioning

confidence: 99%

Urodynamic function during sleep-like brain states in urethane anesthetized rats

Crook

Lovick

2016

Neuroscience

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Section: Discussionmentioning

confidence: 99%

Urodynamic function during sleep-like brain states in urethane anesthetized rats

Crook

Lovick

2016

Neuroscience

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“…There are several schools of thought concerning the stage of sleep in which enuresis occurs. Early claims that enuresis predominantly occurs in wakefulness or stage I sleep (Schiff 1965) ,have been denied by others who find enuresis occurring in all stages of sleep in proportion to the length of time spent .in each stage (Mikkelsen et al 1980, Kales et al 1977, or in wakefulness or stage 1 sleep, only in the older (Oitman & Blinn 1955) or more psychiatrically disturbed patients (Ritvo et al 1969).…”

Section: Discussionmentioning

confidence: 99%

Sleep and the Enuresis Alarm Device

Sireling

Crisp

1983

J R Soc Med

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The effect on sleep of the wire-mesh element within the `buzzer and pad' enuresis alarm device was studied using healthy adult volunteers in a single or double crossover design. Polygraphic recording revealed a reduction in the number of shifts between sleep stages, and in the time spent in wakefulness, movement and stage 1, on the nights when the mesh was in the bed. This effect may be responsible for preventing some of the enuretic episodes which would otherwise have occurred at such times.

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“…Most studies however conclude that enuretics are deep sleepers. 18,19 Low bladder capacity is more in NMNE patients compared to MNE children. This was in accordance with the findings of Naseri et al 14 In his study, detrusor instability or decreased bladder compliance was less in 49% of patients with MNE than 79% with NMNE.…”

Section: Resultsmentioning

confidence: 99%

Clinical profile and risk factors of enuresis in children

Pyarejan

Muthiah

2020

Int J Contemp Pediatr

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Background: Enuresis is a common problem in children and its incidence is multifactorial in nature. The aim of this study is to assess the etiological risk-factors in enuresis in the study population and also to compare the risk factors in enuresis subgroups.Methods: A total of 51 patients with enuresis presenting to the department of paediatrics, Institute of Social Paediatrics, Govt. Stanley Hospital, Chennai were included in the study. All children were sub classified as primary/secondary and the primary enuretics were sub classified into monosymptomatic/non monosymptomatic depending on the symptoms. The data was analyzed and the results presented.Results: Enuresis was common in boys. Statistically significant difference in the incidence of disorder between primary and secondary enuretic children was seen in relation to presence of storage symptoms (p=0.04), cystitis (p=0.013) sleep disordered breathing (p=0.0001) and low-income status (p=0.04). No statistically significant difference between into monosymptomatic nocturnal enuresis (MNE) and non-monosymptomatic nocturnal enuresis (NMNE) children was observed in terms of gender, difficulty in arousal, specific gravity, spina bifida, low bladder capacity and family history (p>0.05).Conclusions: The findings of the study reported that risk factors related to the incidence is similar in both primary and secondary enuresis. MNE and NMNE have no differences in the presentation and probably represent the spectrum of a same disorder.

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Arousal and Nonarousal Enuretic Events

Cited by 63 publications

References 11 publications

Urodynamic function during sleep-like brain states in urethane anesthetized rats

Urodynamic function during sleep-like brain states in urethane anesthetized rats

Sleep and the Enuresis Alarm Device

Clinical profile and risk factors of enuresis in children

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