Childhood enuresis is a risk factor for bladder dysfunction in adult life?

D’Ancona, Carlos Arturo Levi; Lopes, Maria Helena Baena de Moraes; Faleiros-Martins, Anna Carolina; Lúcio, Adélia Correia; Campos, Renata Martins; Costa, José Vilton

doi:10.1002/nau.21195

Cited by 17 publications

(16 citation statements)

References 12 publications

(24 reference statements)

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“…Secondary NE is associated with high BMI, cigarette smoking, antidepressant use, and neurological conditions in adults . It is interesting to note that childhood NE is itself a risk factor for the development of urgency urinary incontinence and mixed urinary incontinence in adult life …”

Section: Methodsmentioning

confidence: 99%

Adolescents with nocturnal enuresis and daytime urinary incontinence—How can pediatric and adult care be improved—ICI‐RS 2015?

Gontard

Cardozo

Rantell

et al. 2017

Neurourology and Urodynamics

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Incontinence in adolescents is a neglected research topic and clinical care is often suboptimal. As adolescents are seen by both pediatric and adult services, alignment and harmonization of diagnostic and therapeutic principles is needed. Also, an organized transition process is recommended to improve care for adolescent patients. Neurourol. Urodynam. 36:843-849, 2017. © 2017 Wiley Periodicals, Inc.

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Section: Methodsmentioning

confidence: 99%

Adolescents with nocturnal enuresis and daytime urinary incontinence—How can pediatric and adult care be improved—ICI‐RS 2015?

Gontard

Cardozo

Rantell

et al. 2017

Neurourology and Urodynamics

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“…Recently, Minassian et al [17] found the highest prevalence of childhood dysfunctional voiding in women with urge UI, followed by mixed UI, and, finally, by stress UI (odds ratio Z 1.4, 95% confidence interval Z 0.8e2.5). Similarly, Levi d'Ancona et al [18] reported that adult patients with urge UI and mixed UI were more likely to have history of enuresis in childhood than those with stress UI. The results of the previously mentioned studies support the hypothesis of co-existing genetic and environmental factors during the developmental years in girls with UI and LUTS, which may predispose them to having similar symptoms in adulthood [17].…”

Section: Discussionmentioning

confidence: 96%

A 20-year study of persistence of lower urinary tract symptoms and urinary incontinence in young women treated in childhood

Petrangeli

Capitanucci

Marciano

et al. 2014

Journal of Pediatric Urology

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Objective: To determine whether urinary incontinence (UI) and lower urinary tract symptoms (LUTS) persist over years, patients treated for UI and LUTS in childhood were reevaluated in adulthood. Materials and methods: Forty-seven women (cases) treated in childhood for daytime UI/LUTS (group A) and nocturnal enuresis (group B) self-completed (average age: 24.89 AE 3.5 years) the International Consultation on Incontinence Questionnaire for Female with LUTS (ICIQ-FLUTS). ICIQ-FLUTS was self-administered to 111 healthy women (average age: 23 AE 5.1 years) from a nursing school as a control group. Data obtained from ICIQ-FLUTS and quality of life (QoL) score (0e10) were compared (Fisher's exact test) between patients and controls, and between group A (n Z 28) and group B (n Z 19). Results: Prevalence of LUTS was higher in patients than in controls. The difference between patients and controls was statistically significant (p Z 0.0001) for UI (34% vs. 7%) and feeling of incomplete bladder emptying (49% vs. 28%). QoL score was >5 in 59% of patients and 1% of controls (p Z 0.0001). No significant differences were found between groups A and B. Conclusions: UI and LUTS are confirmed in young women who suffered for the same condition in childhood. Longitudinal studies are needed to assess if these symptoms persist or are newly onset.

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“…Cross-sectional studies report that frequent childhood bedwetting tends to be refractory and often accompanied by underlying bladder dysfunction (including daytime wetting) 1 28 and that bedwetting with OAB symptoms declines more slowly with age than bedwetting without OAB. 29 Adult UI has been linked to an increased prevalence of UI in childhood, [12][13][14][15][16][17][18] providing evidence that increasing maturity does not guarantee a resolution to these problems. The subtype of persistent and frequent UI has been found to be more common among adults with UI that has persisted since childhood.…”

Section: Discussionmentioning

confidence: 99%

“…1 A cross-sectional study of 5-19-year-olds found a greater proportion of frequent bedwetting (≥3 wet nights/week), accompanied by daytime wetting and other lower urinary tract symptoms (LUTS), in older (11)(12)(13)(14)(15)(16)(17)(18)(19) years) compared with younger children (5-10 years). 1 The authors argue that this provides evidence that frequent bedwetting with daytime LUTS, referred to as non-monosymptomatic nocturnal enuresis (NMNE), is less likely to resolve with age.…”

Section: Introductionmentioning

confidence: 99%

Trajectories of urinary incontinence in childhood and bladder and bowel symptoms in adolescence: prospective cohort study

et al. 2017

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ObjectivesTo identify different patterns (trajectories) of childhood urinary incontinence and examine which patterns are associated with bladder and bowel symptoms in adolescence.DesignProspective cohort study.SettingGeneral community.ParticipantsThe starting sample included 8751 children (4507 men and 4244 women) with parent-reported data on frequency of bedwetting and daytime wetting for at least three of five time points (4½, 5½, 6½, 7½ and 9½ years—hereafter referred to as 4–9 years). Study children provided data on a range of bladder and bowel symptoms at age 14 (data available for 5899 participants).Outcome measuresSelf-reported bladder and bowel symptoms at 14 years including daytime wetting, bedwetting, nocturia, urgency, frequent urination, low voided volume, voiding postponement, passing hard stools and low stool frequency.ResultsWe extracted 5 trajectories of urinary incontinence from 4 to 9 years using longitudinal latent class analysis: (1) normative development of daytime and night-time bladder control (63.0% of the sample), (2) delayed attainment of bladder control (8.6%), (3) bedwetting alone (no daytime wetting) (15.6%), (4) daytime wetting alone (no bedwetting) (5.8%) and (5) persistent wetting (bedwetting with daytime wetting to age 9) (7.0%). The persistent wetting class generally showed the strongest associations with the adolescent bladder and bowel symptoms: OR for bedwetting at 14 years=23.5, 95% CI (15.1 to 36.5), daytime wetting (6.98 (4.50 to 10.8)), nocturia (2.39 (1.79 to 3.20)), urgency (2.10 (1.44 to 3.07)) and passing hard stools (2.64 (1.63 to 4.27)) (reference category=normative development). The association with adolescent bedwetting was weaker for children with bedwetting alone (3.69 (2.21 to 6.17)).ConclusionsTrajectories of childhood urinary incontinence are differentially associated with adolescent bladder and bowel symptoms. Children exhibiting persistent bedwetting with daytime wetting had the poorest outcomes in adolescence.

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Childhood enuresis is a risk factor for bladder dysfunction in adult life?

Abstract: Individuals with MUI and UUI in adult life were more likely to have a history of enuresis in childhood than those with SUI.

Cited by 17 publications

References 12 publications

Adolescents with nocturnal enuresis and daytime urinary incontinence—How can pediatric and adult care be improved—ICI‐RS 2015?

Adolescents with nocturnal enuresis and daytime urinary incontinence—How can pediatric and adult care be improved—ICI‐RS 2015?

A 20-year study of persistence of lower urinary tract symptoms and urinary incontinence in young women treated in childhood

Trajectories of urinary incontinence in childhood and bladder and bowel symptoms in adolescence: prospective cohort study

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