Enuresis Prevalence and Accompanying Factors in Schoolchildren: A Questionnaire Study from Southeast Anatolia

Abstract

Introduction: The aims of this study were to establish the prevalence of enuresis, to determine accompanying factors, and to identify common methods in the management of enuresis in Turkish children aged between 6 and 11 years living in eastern Anatolia. Methods: The parents of 3,527 schoolchildren aged between 6 and 11 years completed a self-administered questionnaire. The questionnaire asked about sociodemographic data, enuresis data, physical or psychological disorders, and family stressors. Descriptive statistics and χ² test were used for data analysis. Results: The response rate was 88%. The overall prevalence of reported enuresis was 12.96%, and the prevalence of marked enuresis (at least weekly) was 9.8%. Enuresis was notably more common in boys (male:female ratio 1.6), and the prevalence rates decreased by age without gender bias. Of all enuretic children, 21% had also daytime bed-wetting. The rate of a positive family history was 42% for siblings only and 66% for the other family members. Significantly more of the dry children woke up spontaneously at night to void as compared with the enuretic children (p < 0.001). The parental concern level was not high, and only 15% of the children visited a physician for the management of enuresis. Low socioeconomic status, unfavorable perinatal or postnatal history, and unsatisfactory familial characteristics were significantly more frequent in the enuretic group (p < 0.05). The enuretic children had also higher rates of poor school performance and poor social adaptation as compared with nonenuretic children (p < 0.001). Conclusions: These results suggest that the prevalence of enuresis in eastern Anatolia is similar to that reported from western Anatolia and from most other countries. Turkish families did not report a high-level concern about enuresis, and the problem was managed primarily within the family.

THE EPIDEMIOLOGY AND FACTORS ASSOCIATED WITHNOCTURNAL ENURESIS AMONG SCHOOL & PRESCHOOL CHILDREN IN HAIL CITY, SAUDI ARABIA: A CROSS-SECTIONAL STUDY.

“…In a study performed in Malaysia, positive family history was determined in 53% of the enuretic children [19]. Another study from Turkey declared that this ratio was 63 and 6% in the enuretic and control group, respectively [20]. In our study, 23.9% of the children with nocturnal enuresis were found to have positive family history in parents with higher prevalence in mothers 14.7%, also 37% have positive family history in siblings.…”

The Evaluation of Patients Diagnosed with Monosymptomatic Nocturnal Enuresis

“…Erkek cinsiyet enürezise eğilimi arttırmaktadır (5). Bizim çalışmamızda da erkek olgu sayısı kızlardan fazla idi.…”

“…Çalışmamızda olguların %65'inde annelerin eğitim düzeyinin düşük olduğu gözlendi. Ayrıca enüretik çocukların çoğunlukla gelir düzeyi düşük ailelere sahip olduğu bildirilmektedir (3)(4)(5)(6). Çalışmamızda olguların %81,7'sinin asgari ücret ya da daha düşük gelir düzeyine sahip aile bireyleri oldukları görüldü.…”

“…Ülkemizdeki enürezis noktürna sıklığı bölgelere göre farklılıklar göstermekle beraber %12,5-25 arasında değişmektedir (2)(3)(4). Erkeklerde daha sık görülmektedir (5). Enürezis noktürnalı çocukların her yıl %15 kadarı kendiliğinden düzelmekte ve ergenlik yaşlarında sıklık %2'lere kadar düşmektedir (6).…”

Can Frequency of Nocturnal Enuresis in Bladder Diary Predict the Efficacy of Urotherapy?

“…The prevalence rates are as high as 15-20% by the age of 5, decreasing to 1% by the age of 15 years [2][3][4][5][6][7][8][9]. It is a self-limiting disease with a spontaneous remission rate of 15% per year [3].…”