Enuresis: Is bedwetting really isolated or not?

Year 2013, , 11 - 14, 26.03.2013

Gürkan Genç , Ozan Özkaya , Ender Özden Serkan Varol Hülya Nalçacıoğlu Sükrü Arslan Şaban Sarıkaya

https://doi.org/10.5835/jecm.omu.30.01.003

Abstract

It is aimed to evaluate the clinical and laboratory characteristics of children applied to nephrology outpatient clinic with the complaint of bedwetting. The records of all patients who applied to Pediatric Nephrology outpatient clinic with the complaint of bedwetting between January 2006 and June 2012 were evaluated retrospectively. A total of 364 patients, 207 male (56.9%) and 157 female (43.1%), aged between 5 to 17 years were enrolled in the study. Three hundred twenty-six patients (89.6%) had primary and 38 patients (10.4%) had secondary enuresis. Non-mono symptomatic enuresis was determined in 143 (39.3%) of the cases. The most common finding of 34 patients who underwent urodynamic study was low bladder capacity and overactive bladder. In conclusion, voiding disorders are frequently encountered but generally overlooked problems during childhood. By distinguishing monosymptomatic enuresis from nonmonosymptomatic enuresis, it would be possible to determine bladder disorders earlier and give the appropriate treatment.

Keywords

Bladder dysfunction, Children, Enuresis, Urinary tract symptom score, Urodynamic study

References

• Aceto, G., Penza, R., Coccioli, M.S., Palumbo, F., Cresta, L., Cimador, M., Chiozza, M.L., Caione, P., 2003. Enuresis subtypes based on nocturnal hypercalciuria: A multicenter study. J. Urol. 170, 1670-1673.
• Akbal, C., Genc, Y., Burgu, B., Ozden, E., Tekgul, S., 2005. Dysfunctional voiding and incontinence scoring system: Quantitative evaluation of incontinence symptoms in pediatric population. J. Urol. 173, 969-973.
• Butler, R., Heron, J., Alspac, Study Team., 2006. Exploring the differences between mono- and polysymptomatic nocturnal enuresis. Scand. J. Urol. Nephrol. 40, 313-9.
• Butler, R.J., Holland, P., 2000. The three systems: A conceptual way of understanding nocturnal enuresis. Scand. J. Urol. Nephrol. 34, 270-277. Chiozza, M.L., Bernardinelli, L., Caione, P., Del Gado, R., Ferrara, P., Giorgi, P.L., Montomoli, C., Rottoli, A., Vertucci, P., 1998. An Italian epidemiological multicentre study of nocturnal enuresis. Br. J. Urol. 81, 86-89.
• Douglas, A., Drossman., 2006. Degnon Associates. Rome III: The Functional Gastrointestinal Disorders, 3rd Edition. MacLean, VA: Degnon Associates.
• Gunes, A., Gunes, G., Acik, Y., Akilli, A., 2009. The epidemiology and factors associated with nocturnal enuresis among boarding and daytime school children in southeast of Turkey: A cross sectional study. BMC Public Health. 9, 357.
• Hunsballe, J.M., Ritting, S., Djurhuus, J.C., 1995. Sleep and arousal in adolescents and adults with nocturnal enuresis. Scand. J. Urol. Nephrol. Suppl. 173, 59-60.
• Kamperis, K., Hagstroem, S., Rittig, S., Djurhuus, J.C., 2006. Urinary calcium excretion in healthy children and children with primary monosymptomatic nocturnal enuresis. J. Urol. 176, 770-773.
• Kanaheswari, Y., 2003. Epidemiology of childhood nocturnal enuresis in Malaysia. J. Paediatr. Child. Health. 39, 118-123.