Resolution of Diurnal Incontinence and Nocturnal Enuresis After Adenotonsillectomy in Children

Abstract

Children with upper airway obstruction have a high rate of nocturnal enuresis that improves at twice the anticipated rate after treatment of the airway obstruction. In addition, we observed that daytime voiding dysfunction improves in these patients.

Prevalence of adenoid hypertrophy and nocturnal enuresis in primary school children in Istanbul, Turkey

“…Adenotonsillectomy had a favorable therapeutic effect on enuresis in children presenting with obstructive sleep apnea symptoms. Similar results have been reported by Firoozi et al [17] and Nowak and Weider [18].…”

Indications for tonsillectomy stratified by the level of evidence

“…The authors included only English literature published between 1998 to 2010 and young patients (≤19 years of age) with SBD accompanied by enuresis, treated with ATE. From 39 identified trials, 14 matched the search criteria encompassing 3680 patients aged 18 months to 19 years, 52% of whom were male [94], [151], [152], [153], [154], [155], [156], [157], [158], [159], [160], [161], [162], [163]. Two studies had to be excluded leaving the data of 3550 patients with simultaneous enuresis in 1113 cases (33%) for further evaluation [94], [153], [154], [155], [156], [157], [158], [159], [160], [161], [162], [163].…”

“…Their size should be assessed according to the Brodsky index [450]. The effects of SBD on the quality of life, performance at school, body growth, bladder continence, and social behavior benefit from TE in ost cases [105], [156], [157], [161], [451], [452], [453], [454], [455], [456], [457], [458], but the severity of SBD does not correlate with the intensity of those symptoms which are not always present [453], [459]. Less than 10% of the children undergo preoperative PSG [454] and in only 60% to 70% of the cases, TE is successful according to PSG criteria [98].…”

Nocturnal Enuresis in Children and Adolescent with Sickle cell Anemia

“…A prevalence rate of 8-47% of NE was reported by some studies [66][67][68][69][70] in comparison to a prevalence rate of 2-15% in children without upper airway obstruction [71][72][73][74]. A high resolution rate of childhood nocturnal enuresis has been associated with tonsillectomy and/or adenotonsillectomy [64,66,[75][76][77][78][79][80][81][82][83].…”