The evaluation of urinary incontinence in secondary school children and risk factors: An epidemiological study

Açıkgöz, Ayfer; Baskaya, Mukaddes; Cakirli, Merve; Çemrek, Fatih; Tokar, Baran

doi:10.1111/ijcp.14657

Cited by 5 publications

(4 citation statements)

References 41 publications

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“…Key studies furthermore report a higher risk for children to get NE if fathers (RR = 7.1), mothers (RR = 5.2), or both parents (RR = 11.3) have been affected 10 . In DUI, findings are in line with NE, 1,70,89 with a higher prevalence of DUI history in family members of affected children. The same is evident in adults with DUI, 33,50 with respect to both SUI 38,52 and UUI 53 .…”

Section: Resultsmentioning

confidence: 85%

“…Selection of eligible papers were performed according to the PRISMA‐ScR document, with two independent authors for screening, full text assessment and inclusion (see Figure 1 for PRISMA 2020 selection flow diagram). Seventy‐six papers 1,10,30–103 were included. Eligible papers are summarized in Table 1, and information about candidate genes are summarized in Table 2.…”

Section: Methodsmentioning

confidence: 99%

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The genetics of incontinence: A scoping review

et al. 2023

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The genetic causes underlying incontinence in both children and adults have begun to be unravelled during the last decades. The aim of this scoping review is to synthesize current knowledge on the genetics of childhood and adult urinary and faecal incontinence, identify similarities between different incontinence subgroups, and identify knowledge gaps to aid future research. PRISMA-ScR was used, and 76 studies were included. Early epidemiological family and twin studies suggest high heritability of incontinence. Linkage studies provide evidence for the existence of rare genetic variants; however, these variants have not been identified. Later candidate gene association studies and recent genome-wide association studies provide the first preliminary evidence that common risk variants also play a role. The genetics of incontinence in children and adults has predominantly been studied separately, but this review identifies for the first time the endothelin system as a potential common pathophysiological pathway. Overall, these findings strengthen the hypothesis that genetic variants play a prominent role in the pathogenesis of incontinence. Future research should include hypothesis-free studies of rare and common variants in large well-characterized cohorts with incontinence. Studies should include different age groups and ethnicities and both sexes to fully reveal the genetics of incontinence.

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Section: Resultsmentioning

confidence: 85%

Section: Methodsmentioning

confidence: 99%

The genetics of incontinence: A scoping review

et al. 2023

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“…The early onset of nocturnal TT (<30 months) was associated with early nocturnal continence and a lower rate of enuresis (31). Acikgoz et al (11) reported a relationship between urinary incontinence only during the day, monosymptomatic and non-monosymptomatic enuresis, and initiation of the TT process after one year of age. In this regard, Akis et al (32) showed that if the age of TT was late (> 24 months), the risk of enuresis was 3.04 times higher than in controls.…”

Section: Discussionmentioning

confidence: 99%

“…However, the pathophysiology is not fully understood (2,(7)(8)(9). Some aspects of the toilet training (TT) process have been associated with the occurrence of PMNE (10,11).…”

Section: Introductionmentioning

confidence: 99%

Relationship between primary monosymptomatic enuresis and process toilet training: a case-control

et al. 2022

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Objective: Primary monosymptomatic nocturnal enuresis (PMNE) is a prevalent condition in childhood, and the pathophysiology is multifactorial. This study investigated the relationship between the toilet training process (TT) and PMNE in children and adolescents. Patients and Methods: A case-control study was carried out from 2015 to 2020. The presence of PMNE was identified according to International Children's Continence Society criteria. A semi-structured questionnaire was applied to assess TT. Results: The study included 103 children and adolescents with PMNE and 269 participants with normal psychomotor development without PMNE (control group [CG]). Readiness signals were more remembered and less frequent in participants with PMNE (p=0.001) when compared to control group. No differences were found between the groups regarding the onset age of the daytime TT (p= 0.10), the nocturnal TT (p=0.08), the acquisition of daytime continence (p=0.06), and the type of equipment used for the TT (p=0.99). The use of Child-Oriented approach in group of children with enuresis was lower than in controls [87.4% (90/103) versus 94% (250/266)], respectively (OR= 0.44, 95% CI 0.21-0.94, p = 0.039). Conclusions: The age of onset of TT, acquisition of daytime continence, and the type of equipment were not associated with higher occurrence of PMNE. On the other hand, the Child-Oriented approach was a protective factor for the occurrence of PMNE.

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