Nocturnal enuresis

Mark, Stephen; Frank, Jacob

doi:10.1111/j.1464-410x.1995.tb07259.x

Cited by 66 publications

(52 citation statements)

References 43 publications

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“…25.4% of children wetted bed every night .This is marked evidence of bother though most of the children voided between 3and 10 times a month. Academic performance and emotional stability may be affected by enuresis 1,2 . Children have been proven to be socially maladjusted and emotionally unstable and academic performance adversely affected by enuresis in previous studies 1 Most studies have reported enuresis to occur frequently in children with a lower socioeconomic status 1,9 .…”

Section: Discussionmentioning

confidence: 99%

“…10 In this study the presence of some comorbidities make enuresis polysymptomatic in 9.3% of enuresis. The polysymptomatic enuretic should be assessed thoroughly.Convulsions are an important factor in polysomatisation of enuresis 1,5,8 . 10% of children had epileptic convulsions and 2.6% had asthma.…”

Section: Discussionmentioning

confidence: 99%

“…Enuresis is probably the most common developmental disorder in children 1 . Nocturnal enuresis (NE) is the commonest and most studied and understood form of enuresis 2 .…”

Section: Discussionmentioning

confidence: 99%

“…There is no evidence of complete cure in any one method but long dry spells characterize most techniques though its difficult to separate this fact from normal observations of dry spells in the normal biology of enureisis 2 Treatment regimes in orthodox care are currently guided by the Guidelines provided by ERIC(Enuresis Resource and Information Centre) 1 usually are reward oriented and seek to change childs' behaviour with or without the use of drugs. Initial success may be defined as 14 consecutive dry nights to be achieved within a 16 week treatment period 1 . There may be relapse, continued success or complete success during treatment.…”

Section: Discussionmentioning

confidence: 99%

“…It is a common urinary disorder in children and reportedly affects 15-20% of 5 year olds and 1-2 % of adolescents with or without treatment as often quoted in most Western series 12 3 .The male child seems to be more commonly affected where it tends to be more disabling with a high incidence of emotional stigmata. 1 There is tremendous increase in the understanding of the patho-physiology and epidemiology of this problem from Western literature but it remains an often, neglected misunderstood problem in the African environment. Resort to orthodox treatment is late when mostly traditional options have not helped.…”

Section: Introductionmentioning

confidence: 99%

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The prevalence of enuresis among primary school children in Zaria, Nigeria

Mbibu¹,

Ameh²,

Shehu³

et al. 2006

Nigerian Journal of Surgical Research

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Background :Enuresis is a common but usually under reported developmental urologic disorder affecting children most commonly .There is evidence of affectation of normal development and social stigmatization of the enuretics apart from it being a real social nuisance. Among the African children this problem is often neglected and the preferred types of treatment are traditional methods. There may be serious implications in the child including ,emotional ,social and mental maladjustment. Method This study was carried out during a six month period in four densely populated primary schools in Zaria.. Native African Children aged above 5 years were included in the study and children with history of neuropsychiatric or obvious urologic disorders were excluded. A structured closed-ended questionnaire was administered to the target group. Results . Enuresis was found in 214/1416(22.2%) of the children. The age range was 5-14 years with a median of 8 years. The male: female ratio of 2:1. 96.6 % (211/214) of affected children had nocturnal enuresis while (1.4%)3/214, had day time enuresis only. Both day time and nocturnal enuresis were seen in 2.8%(6/214) of the children. 75%(160/214) enuretics were mild-moderate and wetted bed less than 10 times /month. The ratio of the female to male ratio in this group was 1:1. 25.4%54/214) enuresis was severe and could not quantify the number of wet nights/month. Only 4/54(7.4%) children in the group considered severe were female the 50 others were male. 74.6%(160/214 ) of the children were enuretic from birth with no describable dry periods . 25.4%(54/214) enuresis commenced long after birth and symptoms were recurrent with long dry spells. In 200/214(88.%) children the mother had received conventional Ante Natal Care(ANC) and subsequent delivery was supervised in the Hospital while in 14/214(6.5%) of the children the mothers did not have ANC and delivery was un-supervised at home. There was no significant correlation between(ANC) ,mode of delivery and enuresis although two children delivered by caesarean section have severe enuresis among a group of 52 children with sever enuresis whose mothers had routine ANC before an uneventful delivery. (20/214) 3% had co -morbidities: asthma and epilepsy. The majority of parents were mostly low income workers. Most patients were managed preferably by varied traditional techniques with usually unsatisfactory outcomes. Only (74/214) 43% performed above average in school. Conclusion: Enuresis is a common and usually neglected urologic condition in our environment. The significant prevalence in the older child may have important implications on quality of the child's development. Health education will encourage parents to present early to avoid crippling associated complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Enuresis is probably the most common developmental disorder in children 1 . Nocturnal enuresis (NE) is the commonest and most studied and understood form of enuresis 2 .…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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