The adverse influence of spina bifida occulta on the medical treatment outcome of primary monosymptomatic nocturnal enuresis

Çakıroğlu, Basri; Taş, Tuncay; Eyyupoglu, Seyit Erkan; Hazar, Aydin Ismet; Balcı, Mustafa Bahadır Can; Nas, Yunus; Yilmazer, Fazli; Aksoy, Süleyman Hilmi

doi:10.4081/aiua.2014.4.270

Cited by 12 publications

(9 citation statements)

References 16 publications

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“…Nocturnal enuresis is a common problem in childhood and adolescence, with prevalence rates of 15 - 20% at five years old, 5% at six to 10 years old, 2 - 3% at 10 - 17 years old, and 1% over 17 years old. The annual spontaneous recovery rate is 15%, and boys suffer from this condition 1.5 times more often than girls [ 9 ]. In our study, the ratio of boys to girls was 3:1 (2,012/1,535), which is compatible with the rate stated in the literature.…”

Section: Discussionmentioning

confidence: 99%

Can Seasons be an Etiologic Factor for Monosymptomatic Nocturnal Enuresis?

Şentürk

Aydın

Ekıcı

et al. 2018

Cureus

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IntroductionPrimary nocturnal enuresis is the most frequent urinary system complaint among pediatric patients. Material and MethodsData compiled from 5,500 children, aged between five to 16 years, diagnosed with enuresis during the period from January 2010 to December 2015 were analyzed. The inclusion criteria were having a diagnosis of monosymptomatic nocturnal enuresis, a birth date known for certain, and complete family history taken. A total of 3,547 children met the inclusion criteria and were included in the study. The study was performed by retrospective analyses. ResultsAnalysis of the results revealed a statistically significant difference among the rates of enuresis with respect to months and seasons (p < 0.001). In our study, we retrospectively reevaluated 3,500 patients for their birth dates and determined a statistically significant difference in the rates of nocturnal enuresis with respect to seasons (p < 0.001). ConclusionAs a result of this study, we determined that monosymptomatic nocturnal enuresis in children is more frequent, particularly in those born during the summer months.

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Section: Discussionmentioning

confidence: 99%

Can Seasons be an Etiologic Factor for Monosymptomatic Nocturnal Enuresis?

Şentürk

Aydın

Ekıcı

et al. 2018

Cureus

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“…The step of physical examination includes correct neurological assessment, spinal dysraphism and anomalies of urogenital system. 25 Urine analysis is done for evaluation of glycosuria which is essential for all patients having night time urinary incontinence. Ultrasonography and other relevant investigations are advised for assessment of any abnormality in urogenital system or to delineate the exact cause of disease 26…”

Section: Managementmentioning

confidence: 99%

Nocturnal Enuresis In Children

Kazi¹,

Zaidi²,

Mehboob³

et al. 2019

J. Bahria Uni. Med. Dent. Coll.

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Nocturnal enuresis is one of the commonest developmental problem specially in our country. It can cause emotional family stress and social isolation of child. According to WHO if condition persist after six years of age, it should be consider as pathological. Exact cause of this condition is not known but is common in lower socio economic people due to lack of awareness about the impact of this disease on the psychology of the children. Different modalities of treatment comprising of non-Pharmacotherapy as well as pharmacotherapy are being tried but relapse rate still persist. In non-pharmacotherapy: Psychotherapy, toilet training and alarm therapy has been tried but in pharmacotherapy, monotherapy that is desmopressin and imipramine and combination of therapy that is desmopressin + oxybutynin and desmopressin + imipramine has been tried. Multiple studies are available but relapse rate till exist. Combination therapy (desmopressin + oxybutynin) is being tried in various Tertiary care Hospital of Pakistan and results are encouraging.

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“…It is observed in more than 15% - 20% of children by the age of 5, which decreases to 1%- 2% by the age of 17. The spontaneous recovery rate is reported to be 14% per year ( 3 ). A positive family history is reported in many children.…”

Section: Epidemiologymentioning

confidence: 99%

Primary Nocturnal Enuresis: A Review

Arda¹,

Çakıroğlu²,

Thomas

2016

Nephrourol Mon

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ContextNocturnal enuresis or bedwetting is the most common type of urinary incontinence in children. It has significant psychological effects on both the child and the family. Enuresis nocturna is defined as the inability to hold urine during the night in children who have completed toilet training. It is termed as being “primary” if no continence has ever been achieved or “secondary if it follows at least 6 months of dry nights. The aim of this review was to assemble the pathophysiological background and general information about nocturnal enuresis.Evidence AcquisitionThis review was performed by evaluating the literature on nocturnal enuresis published between 1970 and 2015, available via PubMed and using the keywords “nocturnal enuresis,” “incontinence,” “pediatric,” “review,” and “treatment.”ResultsChildren with nocturnal enuresis produce urine at higher rates during the night, and may have lower bladder capacities. Some children with nocturnal enuresis may also have daytime urgency, frequency, and urinary incontinence. Treatment includes aggressive treatment of accompanying constipation or urinary tract infections, behavioral changes, and medical therapy. Alarm therapy remains the first-line treatment modality for primary nocturnal enuresis. High rates of patient compliance and relapse mean that alternative treatments remain on the agenda.ConclusionsNocturnal enuresis is a common problem that has multifaceted effects on both the child and the family. Due to multiple etiologic factors, nocturnal enuresis is still not clearly defined.

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The adverse influence of spina bifida occulta on the medical treatment outcome of primary monosymptomatic nocturnal enuresis

Abstract: The presence of spina bifida occulta significantly affects the response to medical treatment in patients with PMNE. Thus, verifying spina bifida occulta status in PMNE can facilitate prognostic predictions about the response to medical treatment.

Cited by 12 publications

References 16 publications

Can Seasons be an Etiologic Factor for Monosymptomatic Nocturnal Enuresis?

Can Seasons be an Etiologic Factor for Monosymptomatic Nocturnal Enuresis?

Nocturnal Enuresis In Children

Primary Nocturnal Enuresis: A Review

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