Nocturnal enuresis in children with upper airway obstruction

Weider, Dudley J.; Hauri, Peter

doi:10.1016/s0165-5876(85)80018-5

Cited by 101 publications

(86 citation statements)

References 6 publications

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“…A high prevalence rate of NE was found in normal children with upper airway obstruction [64][65][66]. A prevalence rate of 8-47% of NE was reported by some studies [66][67][68][69][70] in comparison to a prevalence rate of 2-15% in children without upper airway obstruction [71][72][73][74].…”

Section: Ne and Upper Airway Obstruction Are They Related?mentioning

confidence: 82%

Nocturnal Enuresis in Children and Adolescent with Sickle cell Anemia

Ahmed¹

2017

Med Surg Urol

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Children with sickle cell anemia (SCA) have a tendency to have nocturnal enuresis (NE) more than normal children with males being more affected than females. Mechanisms of NE that operate in normal children probably do so in children with SCA. Postulated causes of nocturnal enuresis in individuals with SCA include hyposthenuria causing nocturnal polyuria, reduced bladder capacity or nocturnal bladder overactivity, sleep disordered breathing and an increased arousal thresholds. The variation in the reported prevalence rate of NE in SCA is probably due to differences in definition criteria and methodology. This review will discuss the prevalence rate and postulated causes of NE in children with SCA.

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Section: Ne and Upper Airway Obstruction Are They Related?mentioning

confidence: 82%

Nocturnal Enuresis in Children and Adolescent with Sickle cell Anemia

Ahmed¹

2017

Med Surg Urol

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“…As mentioned above, eradication of upper airway obstruction can cure a small group of enuretic children (9). The intriguing findings of Kurol et al, that the application of orthodontic devices to provide maxillary expansion may be helpful, may reflect similar mechanisms (29).…”

Section: Other Therapies and Future Prospectsmentioning

confidence: 97%

“…In many cases it is found that the family did not receive adequate information and follow-up during the alarm treatment, and then a new session can often be curative. The presence of heavy snoring or sleep apnoeas should be asked for, since in some cases the removal of upper airway obstruction can result in disappearance of enuresis (9). We usually ask the child if he or she -not just the parents -regards the bedwetting as a big problem.…”

Section: Patient Historymentioning

confidence: 99%

The Evaluation and Treatment of Therapy-Resistant Enuresis: A Review

Nevéus

2006

Upsala Journal of Medical Sciences

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Children with enuresis that neither responds to the alarm or to desmopressin medication usually have nocturnal detrusor over-activity combined with high arousal thresholds as a cause for their bedwetting.The evaluation of these children is focused on 1) excluding underlying pathology such as kidney disease, urinary tract infection or neurogenic bladder, 2) looking for concomitant day-time bladder problems or constipation, and 3) detecting possible reasons for failure of alarm treatment. A bladder diary is essential, but blood tests, radiological examinations or invasive procedures are seldom informative.The non-pharmacologic treatment of these children consists of eradication of constipation, if present, and the provision of advice regarding sound drinking and toilet habits. Such treatment is essential but not uniformly sufficient by itself.The first-line pharmacologic treatment of therapy-resistant enuresis is anticholinergic medication, although this is, as yet, not evidence-based. Anticholinergics can be combined with desmopressin for better efficiency. For children failing all these measures there is still a place for tricyclic antidepressant therapy, provided that adequate safety precautions are strictly observed. BACKGROUND

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“…12 Increased urine production results from hormonal disregulation. These alterations are accompanied by increased levels of catecholamines and frequent arousal that further contribute to enuresis.…”

Section: Historymentioning

confidence: 99%