Nocturnal enuresis at 7.5 years old: prevalence and analysis of clinical signs

Abstract

problems, and signs related to the wetting behaviour; 8269 (73.5%) questionnaires were returned and 8151 contained information on the frequency of bedwetting. RESULTSIn all, 1260 children (15.5%) at 7.5 years wet the bed, but most wet once or less a week, and only 215 (2.6%) met the Diagnostic and Statistical Manual of Mental Disorders (fourth edition) criteria of NE (wetting at least twice a week). A higher prevalence was reported in boys than girls and 266 children (3.3%) had both daytime wetting and bedwetting, with 189 (2.3%) having both daytime soiling and bedwetting. Daytime urgency increased with severity of bedwetting and occurred in 28.9% of children with NE. CONCLUSIONAt 7.5 years old the incidence of bedwetting is high, but only 2.6% of this large populationbased sample wet at a frequency meeting the definition of NE. Although a small percentage of children had both daytime wetting and bedwetting, the evidence suggests that these are discrete problems. Amongst children with NE, indicators of bladder overactivity were present, supporting the view of heterogeneity and the importance of individual assessment in deciding on appropriate treatment.

Behavioral alarm treatment for nocturnal enuresis

“…The rate of severe enuresis in the sample is larger than that reported in prevalence studies (3). This is possibly due to the inclusion criteria used in this study and to the fact that the search for treatment may be more frequent when enuresis is more severe.…”

“…In addition to that, the DSM-IV criteria states that the involuntary voiding must occur at least twice a week for at least three months (2). Nocturnal enuresis is one of the most frequent problems of childhood, affecting up to 15% of children from 5 to 7 years of age and 1 to 2% of young adults (3)(4)(5)(6). However, if DSM-IV criteria are employed, the prevalence of enuresis is around 2.6% (3).…”

Prevalencia de la enuresis nocturna en la Comunidad Valenciana: Sección infantil del estudio nacional de incontinencia. Estudio EPICC

“…También entre los enuréticos norteamericanos hasta los 13 años, la mayor parte presentaba de 1 a 5 escapes anuales, y a los 5 años el 5% de los niños y menos del 1% las niñas mojaban la cama a diario 10 . En la serie de Butler et al 9 , también predominaban los enuréticos con pocos escapes. Los parámetros cambian cuando se utilizan definiciones más exigentes; en la tabla 4 se representa la prevalencia de enuresis según la frecuencia de escapes.…”

Nocturnal Enuresis Frequency in Children and Anxiety-Depression Risks of Parents

“…Birican and colleagues identified that 53% of the children with primary enuresis were male, and 47% were female [13]. In a study conducted by Butler and colleagues with 1260 enuresis patients, it was observed that enuresis was significantly more common in males than it was in females, and the study conducted by Serel and colleagues showed that the frequency of enuresis was significantly higher in males than it was in females [14][15]. The general prevalence of our study is consistent with literature.…”