Monosymptomatic nocturnal enuresis

Year 2012, Volume: 39 Issue: 1, 145 - 152, 01.03.2012

Pelin Ertan Bertan Karaboğa

https://doi.org/10.5798/diclemedj.0921.2012.01.0116

Cited By: 2

Abstract

Enuresis Nocturna is the most common urologic problem in childhood. There is not a consensus about terminology. Terminology identified by The International Children's Continence Society (ICCS) is recommended. Bed-wetting at night during sleep (incontinence) in children above 5 years of age who don\'t have congenital or acquired central nervous system defect is defined as enuresis nocturna. There are two groups monosymptomatic (simple) and non-monosymptomatic (complicated). Monosymptomatic enuresis nocturna (MNE) has no symptoms other than bed-wetting at night during sleep. Various theories concerning etiology of MNE has been suggested; one or more of ge-netic, hormonal, bladder associated and sleep disorders are stated to play a role. Self-improvement can be achieved each year by 15% increasing maturity. Under pinning treatment and in addition to this unique treatment must be done by considering the factors in the pathophysiology. The success of the treatment and roadmap to be followed must be arrange with child and family. The purpose of this eclectic is; evaluation of correct diagnosis, differential diagnosis, patient follow-up and treatment options of the cases applicant with nocturnal enuresis based on the current knowl-edge of ICCS and Turkey Enuresis Treatment Guide.

Keywords

Enuresis, child, treatment.

Monosymptomatic nocturnal enuresis

Abstract

Enüresiz noktürna (EN) çocukluk çağının en sık karşılaşılan ürolojik problemidir. Terminoloji konusunda tam bir görüş birliği olmayıp Uluslararası Çocuk Kontinans Derneği\'nin (ICCS) yaptığı tanımlamaların kullanılması önerilmektedir. Doğuştan ya da kazanılmış santral sinir sistemi defekti olmayan 5 yaşın üzerindeki çocuklarda istemsiz olarak gece uykuda altını ıslatma EN olarak tanımlanır. Monosemptomatik (basit), monosemptomatik olmayan (komplike) grupları vardır. Monosemptomatik noktürnal enüreziste (MNE) gece yatağa ıslatma dışında gün içinde herhangi belirti yoktur. MNE etyolojisinde çeşitli teoriler öne sürülmüş; genetik, hormonal, mesane ile ilişkili ve uyanma bozukluklarının bir veya birden fazlasının rol oynayabileceği bildirilmiştir. Matüritenin artmasıyla her yıl %15 oranında kendiliğinden dü-zelme görülür. Tedavi destekleyici ve buna ilaveten patofizyolojideki faktörler göz önüne alınarak özgün tedavi olarak yapılmaktadır. Tedavinin başarısı ve izlenecek yol haritası çocuk ve aile ile birlikte planlanmalıdır. Bu derlemede nok-türnal enürezisle başvuran olguları değerlendirirken doğru tanı, ayırıcı tanı, izlem ve tedavi seçenekleri ICCS ve Tür-kiye Enürezis Tedavi Kılavuzu (TEK) temel alınarak güncel bilgiler ışığında verilmesi amaçlanmıştır.

Keywords

Enürezis, çocuk, tedavi.

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