The natural history of urinary symptoms during adolescence

Abstract

Objective To determine the prevalence and natural hisreported by 4.7% of children at 11-12 years and 1.1% at 15-16 years. Some of the children reporting tory of urinary symptoms and incontinence among healthy adolescent schoolchildren.daywetting and nocturnal enuresis at 15-16 years old had not reported these symptoms at 11-12 years Subjects and methods A prospective longitudinal study using a confidential questionnaire administered to an old. Conclusion Urinary symptoms become less prevalent original cohort of 1176 local schoolchildren at 11-12 years and again at 15-16 years old.with age, but are reported by a significant number of healthy schoolchildren. Results There was a decrease in the prevalence of urinary symptoms with age. Daywetting was reported by Keywords Prevalence, adolescence, urinary incontinence, enuresis 12.5% of children aged 11-12 years and 3.0% of children aged 15-16 years. Nocturnal enuresis was the study was approved by the local research and ethics Introduction committee. The children completed a simple questionnaire while under the supervision of one investigator, Nocturnal enuresis and daywetting are common symptoms presenting to healthcare workers. There have been and care was taken to ensure confidentiality. The questionnaire was administered when the children were aged many studies reporting the prevalence of nocturnal enuresis and to a lesser extent daywetting in children 11-12 years and again at 15-16 years. During the first phase of the study, children in two of [1][2][3][4][5][6]. Most of these studies have been cross-sectional rather than longitudinal and have concentrated on the schools were asked to complete frequency charts to validate part of the questionnaire. Daywetting was children younger than 12 years. Reported prevalences vary and have been shown to decline with age for both defined as wetting with some regularity and nocturnal enuresis as bedwetting at least once every 3 months. daywetting and nocturnal enuresis [7]. Nocturnal enuresis, defined as wetting at least once a month, hasThe results were assessed statistically using x2 and Fisher's exact tests as appropriate, and McNemar tests a reported frequency of 4% in 12-year-old girls, and 5% in 12-year-old boys [5]. Similar frequencies of 3% for for comparing children at 11-12 and 15-16 years. Corresponding 95% CIs were also obtained for the chi-13-year-old girls and 4% for 13-year-old boys have been reported elsewhere [6]. Daywetting has been reported as square and McNemar tests. To allow for the multiple significance testing, test-wise P-values were only occurring in 1% of 12-year-old boys and girls [5]. The prevalence of other urinary symptoms is less well known considered significant if they were <0.005. [8]. Because of the paucity of information concerning urinary symptoms and incontinence in the older age Results group, a longitudinal study was conducted to determine the natural history of urinary symptoms during adoOf the children who took part in the original survey, 940 (411 boys and 529 girls) completed the ...

Nocturnal enuresis in the adolescent: a neglected problem

“…Up to 74% of enuretic adolescents had primary NE and 71% had monosymptomatic NE, which was unexpected; most patients could have been treated much earlier, before reaching adolescence. In females, symptomatic NE and UTI were significantly more frequent than in males, as already reported by Swithinbank et al [16]. About half of the girls with NE and UTI also complained of obstipation.…”

“…In an attempt to assess the prevalence of NE in the general population, Cushing and Baller [15] investigated a group of 398 graduate and undergraduate students, finding a prevalence of NE of 3.8%. More recently, Swithinbank et al [16] in a longitudinal study on 1176 children, reported a prevalence of NE of 4.7% at 11-12 years old (3.5% and 6.2%, respectively, in females and males), decreasing to 1.1% at the age of 15-16 years (0.8% and 1.6%, respectively) In their series, NE was more frequent in males in both age groups, and day-wetting more frequent in females. Hellstrom et al [17] reported a prevalence of NE, respectively, of 0.7% in males and 0.6% in females at 17 years old.…”

“…The close relationship between UTI and voiding dysfunction, particularly in girls, is well known [19]. Surprisingly, there are many reports on UTIs, voiding dysfunction and incontinence in children and the elderly, while adolescents and young adults are rarely studied [16,20]. Up to 80% of the evaluated adolescents with NE had a positive family history for NE.…”

Behavior Profiles in Children With Functional Urinary Incontinence Before and After Incontinence Treatment

“…These 2 clinical entities occur mainly in girls, [1][2][3] as manifestations of nonneuropathic bladder-sphincter dysfunction (NNBSD), and have always been associated with behavior problems; the International Classification of Diseases, 10th Revision, lists both "enuresis of nonorganic origin" and "urinary incontinence of nonorganic origin" in the category of mental and behavioral disorders. 4,5 For primary monosymptomatic nocturnal enuresis (MNE), this association has been studied quite extensively, [6][7][8][9][10][11][12] and in terms of temperament, emotional stress, and anxiety, most studies indicate that children with MNE are not different from those without.…”

Minimal tethered cord syndrome: what's necessary to justify a new surgical indication?

“…4,7,24,26 We have identified evidence supportive of a plausible pathophysiology in minimal TCS and preliminary information regarding the identification of patients subject to this pathophysiology (postulates one and two). Although only Class III evidence is available to support the efficacy of surgical filum division in minimal TCS, that Class III evidence is relatively abundant and uniformly positive.…”