Evaluation of Sleep Disorders in Patients with Monosymptomatic Enuresis Nocturna

Abstract

Aim: It was aimed to investigate the relationship between the sleep disorders and monosymptomatic enuresis nocturna (MEN) and also to evaluate the possible etiological factors causing MEN. Material and methods: Fifty patients having complaints of enuresis nocturna were evaluated prospectively between September 2012 and December 2013. All of the cases were evaluated and patients with secondary organic causes were excluded from the study. As a result of the anamnesis and examinations, 34 patients (68.0%) determined to have primary MEN underwent sleep test all night with full polysomnography method. Results: Twenty nine (85.3%) of the patients were diagnosed with different degrees of obstructive sleep apnea syndrome (OSAS) and included in the study. Correlation of the apnea score values with the patients' age, frequency of bedwetting, body mass index (BMI) and bladder capacity were analyzed; and there was only a statistically significant positive correlation with BMI (r=0.384, p=0.047). The patients were divided into weight groups and compared in terms of apnea score, bed wetting frequency and bladder capacity; and the median apnea score of the obese group was found to be statistically significantly higher than the normal and overweight groups (p=0.019). Conclusion: OSAS and obesity are present in a significant proportion of patients diagnosed with MEN, and these two diseases are effective factors in the development of MEN.

Keywords

• nocturnal enuresis
• obstructive sleep apnea syndrome
• child
• polysomnography

Monosemptomatik Enürezis Nokturnalı Hastalarda Uyku Bozukluklarının Değerlendirilmesi

Öz

Amaç: Bu çalışmada uyku bozuklukları ile monosemptomatik enürezis nokturna (MEN) arasındaki ilişkinin araştırılması ve MEN'e neden olan olası etiyolojik faktörlerin değerlendirilmesi amaçlandı. Gereç ve Yöntemler: Enürezis noktürna şikâyeti olan 50 hasta, Eylül 2012 ile Aralık 2013 tarihleri arasında ileriye dönük olarak değerlendirildi. Tüm olguların ayrıntılı incelemesi sonucunda ikincil organik nedenleri olan hastalar çalışma dışı bırakıldı. Ayrıntılı anamnez ve detaylı muayeneler neticesinde, primer MEN olduğu saptanan 34 hastaya (%68,0) bütün gece tam polisomnografi yöntemi ile uyku testi yapılarak kayıt altına alındı. Bulgular: Çalışmada değerlendirilen elli hastanın yirmi dokuzuna (%85,3) farklı derecelerde obstrüktif uyku apne sendromu tanısı konuldu ve bu hastalar çalışmaya dâhil edildi. Elde edilen apne skor değerlerinin; hastaların yaşı, alt ıslatma sıklığı, vücut kitle indeksi ve mesane kapasitesi ile korelasyonu analiz edildi ve analizler sonucunda sadece apne skoru değerleri ile vücut kitle indeksi arasında istatistiksel olarak anlamlı pozitif korelasyon tespit edildi (r=0,384; p=0,047). Hastalar ek olarak ağırlık gruplarına ayrılarak apne skoru, alt ıslatma sıklığı ve mesane kapasitesi açısından karşılaştırıldı ve alt ıslatma sıklığı ile mesane kapasitesi açısından anlamlı farklılıklar tespit edilmezken; obez grubun ortanca apne skoru normal ve fazla kilolu gruplardan istatistiksel olarak anlamlı derecede yüksek bulundu (p=0,019). Sonuç: Obezite ve obstrüktif uyku apne sendromu, MEN tanısı konan hastaların önemli bir kısmında mevcuttur ve bu iki hastalık, MEN gelişiminde etkili faktörlerdir.

Anahtar Kelimeler

• gece idrar kaçırma
• tıkayıcı uyku apne sendromu
• çocuk
• polisomnogfrafi

Kaynakça

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