The Relationship Between Nocturnal Enuresis and Spina Bifida Occulta: A Prospective Controlled Trial

Yavuz, Abdülmecit; Bayar, Göksel; Kılınç, Muhammet Fatih; Sariogullari, Umut

doi:10.1016/j.urology.2018.07.038

Cited by 10 publications

(8 citation statements)

References 21 publications

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“…The prevalence of SBO is between 12% and 23% and is more common in males. [17] In this study, this proportion was found to be 21.5%. It is most commonly seen at S1, L5, S2, and L4 vertebral levels.…”

Section: Discussionmentioning

confidence: 48%

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Medical comorbidity of nocturnal enuresis in children

et al. 2019

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Introduction:The purpose of this study was to evaluate the characteristics of patients with nocturnal enuresis (NE).Methods:We enrolled 403 children with NE referred to the Services of Pediatrics, Campus Bio-Medico University Hospital of Rome between June 2013 and July 2018. We excluded 2 children, respectively, with renal agenesis and chromosomopathy.Results:Of the 401 patients, 101 girls (25.2%) and 300 boys (74.8%), aged 5–16 years; mean age at first visit 8.8 ± 2.44 years. During the physical examination, we asked the patients and their parents specific questions to identify signs and symptoms of voiding disorders and comorbid conditions. In addition, we evaluated family history and behavioral characteristics of patients. In this study, NE was heredity in the 31.2% of cases. We found urogenital abnormalities in 15.7% of cases, constipation in 14.5% of cases, innocence heart murmur in 21.4% of cases and parasomnias in a good percentage of cases, especially snoring (13.7%), restless sleep (5.7%), somniloquy (23.7%) and bruxism (14.7%).Conclusions:Our experience demonstrates that there are a lot of comorbidities that are associated with NE and can influence the prognosis and the response to the therapy in these children.

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Section: Discussionmentioning

confidence: 48%

“…[5] In addition, children with SBO have lower treatment response. [17] On the other side, previous studies have shown that resolution of comorbidities, such as OSAS, leads to a better treatment success of NE. [9] Further studies on our sample might address the issue of evaluating the prognostic role of comorbidities associated with NE.…”

Section: Discussionmentioning

confidence: 99%

Medical comorbidity of nocturnal enuresis in children

et al. 2019

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“…They were grouped into NE categories according to ICCS criteria and terminology based on information and descriptions given by the parents, which is in keeping with the ICCS premise of confirming NE categories/types based on descriptions rather than on pathogenesis. It is possible that there may have been other associated conditions not necessarily ICCS defined in these children like Spina Bifida Occulta (SBO) that could have been diagnosed with investigations only [33]. Further studies that include physical examination and investigations will be able to diagnose more conditions associated with NE beyond the description based ICCS definitions.…”

Section: Discussionmentioning

confidence: 99%

Frequency and features of nocturnal enuresis in Pakistani children aged 5 to 16 years based on ICCS criteria: a multi-center cross-sectional study from Karachi, Pakistan

et al. 2018

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BackgroundNocturnal enuresis (NE) is a common symptom in children worldwide. International Children’s Continence Society (ICCS) defines enuresis as either mono-symptomatic, NE with lower urinary tract symptoms and NE with co-morbid conditions. The objectives of this study were to determine the frequencies and types of NE and associated symptoms and conditions in children aged 5 to 16 years based on ICCS criteria.MethodsA multi-center cross sectional study was conducted between November 2012 and December 2013 in the primary care clinics of four hospitals in Karachi. Children aged five to fifteen years were included through consecutive sampling. Informed consent was obtained from the parents and a pre-coded semi-structured questionnaire was used to obtain the information. Data was entered on SPSS version 20.0 and multivariable logistic regression analysis was used for data analysis.ResultsOut of 429 children aged between five and sixteen years, 243(56.9%) were boys and the remaining 186(43.1%) were girls. One hundred and eighty three children (43%) had nocturnal enuresis (NE). Forty four (10.3%), had mono-symptomatic NE, 57(31.1%) had associated lower urinary tract symptoms (NE-LUTS), whereas 30 (16.3%) had NE with a co-morbid condition. Fifty two (28.4%) NE’s had at least one of both LUTS and a co-morbid condition. Out of the 246(57%) non-enuretic’s, 31(12.6%) had a LUTS, 95(38.6%) had a co-morbid condition and 57(23.2%) had at least one of both LUTS and a co-morbid condition. The remaining 63 (25.6%) were symptom free. Increased voiding frequency, urgency, dysuria, suprapubic pain and daytime incontinence were the LUTS significantly associated with NE. Co-morbid conditions significantly associated with NE included constipation, congenital defects, developmental delay, and learning and sleep problems.ConclusionAlthough NE can be an only symptom, it is often associated with lower urinary tract symptoms like dysuria, urgency, suprapubic pain, and daytime incontinence. Children presenting with NE often have co-morbid conditions like constipation, urinary tract infection, sleep disorders, and developmental delay. Many children presenting with these conditions as the primary complaint may also have NE. It should be addressed as unrecognized and untreated NE can cause additional morbidity and distress.

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“… 15–17 We used the definition of one or more voids per night for nocturia. 18 We excluded studies which had comorbidities (eg spina bifida occulta), 19 only focused on animal cases, or did not discuss both childhood NE and nocturia in the title and abstract sorting. In full-text screening, we excluded studies which were narrative reviews or had insufficient data.…”

Section: Methodsmentioning

confidence: 99%