Enuresis and overactive bladder in children: what is the relationship between these two conditions?

Abstract

Objective:Evaluate clinical aspects associated with the presence of nocturnal enuresis (NE) in children with a diagnosis of overactive bladder (OAB).Material and Methods:A data base of 200 children who were evaluated by a structured questionnaire was analysed retrospectively . OAB was defined as the presence of urinary urgency (n=183 cases) and/or daytime urinary incontinence associated with holding maneuvers (n=168 cases). Inclusion criteria were a confirmed diagnosis of OAB, age 5-16 years, and no anatomical or neurological alterations of the urinary tract. Patients were divided into enuretics and non-enuretics. The two groups were compared with respect to sex, age, skin color, presence urinary infection, urgency, urge incontinence, non-urge incontinence, pollakiuria, urinary dysfunction, nocturia, holding maneuvers, number of episodes of enuresis and bowel alterations. In a univariate analysis, the chi-square test was used to compare proportions, with p-values <0.05 being considered significant. A multivariate analysis was conducted to identify independent predictive factors.Results:Enuresis was diagnosed in 141/200 children. The two groups were similar with respect to sex, age and skin color. No difference was found in relation to urinary infection, non-urge incontinence, urinary dysfunction, nocturia, encopresis or constipation. The two groups were significantly different with regard to some symptoms related to OAB such as urgency (p=0.001), urge incontinency (p=0.001) and holding maneuvers (p=0.033). Following multivariate analysis, only holding maneuvers (p=0.022) remained as an independent predictive factor.Conclusion:The only independent predictive factor for resolution of enuresis in children with OAB, as detected in the multivariate analysis, was holding maneuvers.

Prevalence, Risk Factors, and Psychological Effects of Overactive Bladder in Chinese University Students

“…In the present survey, we found that young adults with PNE were more likely to suffer from OAB than respondents without PNE. A separate study showed that PNE is related to OAB in children [ 22 ]. Research has indicated that one-third of patients with OAB have PNE, which may be due to involuntary detrusor activity in patients with PNE [ 23 ].…”

Prediction of chronic pyelonephritis course in children

“…Безпосередній зв'язок із рецидивами ІСС, МСР, мають порушення сечовипускання у вигляді дисфункції сечового міхура та енуре зу [18,26]. Незважаючи навіть на нетяжкий перебіг останніх, у пацієнтів доволі часто реєс труються ускладнення з боку верхніх сечових шляхів та ХХН [22].…”

“…Незважаючи навіть на нетяжкий перебіг останніх, у пацієнтів доволі часто реєс труються ускладнення з боку верхніх сечових шляхів та ХХН [22]. Енурез є поширеним захворюванням у дітей, що уражує, за даними різних авторів, близько 15-20% дітей віком 5 років, 5-10% дітей віком 7 років, 5% дітей віком 10 років і 1-3% дітей віком 15 років [15,26]. Отримані нами дані (енурез частіше реєструвався у дівчаток молодшого віку) збіга ються з попередніми дослідженнями [22,26].…”

Overactive Bladder in Children

“…23 It was recently demonstrated that there is an association between mothers and daughters with OAB. 10,29 The intestinal constipation should be investigated and evaluated through the Bristol Stool Diary and the Roma III or IV score. 11 OAB occurs during the bladder storage stage.…”