Nocturnal enuresis in children

Norfolk, Sally; Wootton, Janet

doi:10.7748/ns.27.10.49.s55

Cited by 7 publications

(4 citation statements)

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“…In pediatric patients, it is mostly diagnosed between the ages of 5 and 7 years [5, 6]. It has recently been reported that 10–20% of all 5-year-old children suffer from enuresis and that the prevalence of enuresis decreases by about 15% each year, with 5 and 1–2 % of children being enuretic at 10 and 15 years of age, respectively [2, 7–9]. …”

Section: Introductionmentioning

confidence: 99%

Non-dipping phenomenon in children with monosymptomatic nocturnal enuresis

et al. 2013

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PurposeMonosymptomatic nocturnal enuresis is a common disorder seen in childhood, and many factors play a role in its etiopathology to varying degrees. The aim of our study was to investigate the possible association between nocturnal enuresis and 24-h blood pressure profiles of enuretic children.MethodsA total of 45 children ranging in age from 6 to 15 years with monosymptomatic nocturnal enuresis and 22 age-matched healthy controls were enrolled in our study. The blood pressure measurement was made at 30-min intervals during a 24-h period via an ambulatory blood pressure measurement device. Both groups underwent medical tests that included a complete blood count, blood biochemistry profile, urinalysis and blood renin–aldosterone levels, and all study subjects received an abdominal ultrasound.ResultsStatistically significant high nocturnal blood pressure levels were observed in our patients with monosymptomatic nocturnal enuresis compared with the control group (p < 0.05). The mean values of the day-to-night difference (dipping) in the systolic and diastolic blood pressure of the patients were significantly lower than those of control group (p < 0.05).ConclusionNocturnal enuresis should not only be accepted as a urinary system disorder. Possible systemic causative factors have to be examined, especially in patients that are resistant to first-line therapy. Based on the results of our study, we deduce that one of the factors that plays a role in the pathogenesis of enuresis nocturna is a non-dipping blood pressure profile (the “non-dipping” phenomenon).

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Section: Introductionmentioning

confidence: 99%

Non-dipping phenomenon in children with monosymptomatic nocturnal enuresis

et al. 2013

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“…To randomize patients, the method of blind random sample was used. The study included patients with urination during sleep (at least twice a week) 6,7,9 , who previously had not used AI or taken desmopressin. Clinical, socioeconomic and demographic characteristics of the children are shown in Table 1. A detailed history was taken in children who complained of urination during sleep of demographic data and socio-economic status (SES) of the children and their families.…”

Section: Methodsmentioning

confidence: 99%

“…International Children's Continence Society (ICCS) 9 and National Clinical Guideline Centre (NCGC), UK, in 2012 presented the clinical recommendations for diagnosis and treatment of PMNE. According to these, the main methods for active treatment of enuresis are alarm intervention (AI) and desmopressin.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the efficacy of long-term treatment of primary monosymptomatic nocturnal enuresis of varying severity using traditional methods

Kosilov

Kuzina

Kuznetsov

et al. 2018

Sri Lanka J Child Health

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Background: Primary monosymptomatic nocturnal enuresis (PMNE) is a pathological state where the patient has no problem with bladder control in the waking state but does not awake from the urge to urinate. Very little is known about the prognostic factors regarding effective treatment of PMNE using methods recommended by the International Children's Continence Society. Objective: To compare the efficacy of long term treatment of PMNE using alarm intervention (AI) and desmopressin in children and adolescents and also to study the impact on it of the severity of disease, age and socioeconomic factors. Method: Study was conducted from 15 th January to 30 th October, 2016 in the Far Eastern Federal University (Vladivostok) in children 7 to 14 years old having PMNE. At the preliminary stage, the clinical, socioeconomic and demographic characteristics of the children were noted. All patients had blood and urine tests done and the level of antidiuretic hormone was determined. To exclude a hyperactive bladder, uroflowmetry and a questionnaire survey of OABq-SF were used. Monitoring of changes in the number of episodes of enuresis (EE) and independent awakenings was carried out using a voiding diary. In the active phase of the study, patients from group A underwent treatment by AI and patients from group B received desmopressin 0.4 mg per day.

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“…4,5 Bed-wetting spontaneously ceases with increasing age, being present in 15% of 5-year-old children, 5% of 10-year-old children, and 1% of 15-year-old children. 6,7 It should not only perceived as a voiding abnormality, but also as a real trouble for children and their families because of its negative effects on the self-image of children and possible comorbidities such as learning disability and visuomotor integration abnormalities. 8,9 The etiopathogenesis of NE is not yet fully understood due to the complexity of the processes involved.…”

Section: Introductionmentioning

confidence: 99%