The relationship of enuresis nocturna and adenoid hypertrophy

Balaban, Muhsin; Aktaş, Alper; Sevinc, Cuneyd; Yücetaş, Uğur

doi:10.4081/aiua.2016.2.111

Cited by 6 publications

(8 citation statements)

References 19 publications

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“…Aydın S et al (5) reported in a study they carried on 1132 children aged between five and fourteen years that there was no significant relationship between AV and PNE. In contrast to this study, Balaban M et al (6) reported in a study of 143 children in total that, ATH was observed more common in children with PNE complaints. In our study, AH and TH ratio were found significantly higher in children with PNE.…”

Section: Discussioncontrasting

confidence: 97%

“…As a matter of fact, it is known that children with PNE have difficulty in waking up for toilet (12). Balaban M et al (6) reported in their study that sleep is deeper in children with PNE. Nevertheless, ATH also causes a decrease in sleep quality by leading upper airway resistance and sleep apnea in children (13).…”

Section: Discussionmentioning

confidence: 96%

“…The role of upper airway obstructive pathologies such as adenoid hypertrophy (AH), tonsillar hypertrophy (TH), allergic rhinitis (AR) and nasal septum deviation (NSD) in the etiology of PNE is still controversial. While some studies on this subject suggest that upper airway obstruction plays a role in the etiology of PNE, it is reported that it has no effect in some studies (5)(6)(7).…”

Section: Introductionmentioning

confidence: 98%

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Üst solunum yolu obstrüktif patolojiler ile primer nokturnal enürezis arasındaki ilişkinin değerlendirilmesi

Şen

Güler

2019

Harran Üniversitesi Tıp Fakültesi Dergisi

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Background: The aim of this study was to determine the relationship between primary nocturnal enuresis (PNE) and upper airway obstructive pathologies such as allergic rhinitis (AR), nasal septum deviation (NSD), adenoid hypertrophy (AD) and tonsillar hypertrophy (TH). Methods: The study included 78 volunteer PNE patients (42 males, 36 females; mean age: 7.2 ± 1.6 years, range: 5.4 to 11.6 years) who applied to Pediatrics and Urology outpatient clinics of a second-stage hospital between June 1, 2018 and September 1, 2018. The control group included 72 volunteer children (34 males, 38 females; mean age: 7.6 ± 1.4 years, range: 5.1 to 12.7 years) who were admitted to the inpatient outpatient clinics of the same hospital and had no PNE complaint. All participants included in the study were applied routine physical examination, flexible fiberoptic nasopharyngoscopy and score for allergic rhinitis (SFAR) questionnaire. Brodsky scale and fiberendoscopic findings were used to classify tonsil and adenoid dimensions respectively. Results: There was no significant difference between PNE (+) and PNE (-) groups in terms of age and gender (respectively p = 0.203 and p = 0.819). Although AR and NSD were similar in both groups, the ratio of AH and TH was statistically significantly higher in the PNE (+) group (p = 0.016 and p = 0.05, respectively). Conclusion: Adenotonsillar hypertrophy must be considered in children with primary nocturnal enuresis.

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Section: Discussioncontrasting

confidence: 97%

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 98%

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Üst solunum yolu obstrüktif patolojiler ile primer nokturnal enürezis arasındaki ilişkinin değerlendirilmesi

Şen

Güler

2019

Harran Üniversitesi Tıp Fakültesi Dergisi

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“…[6][7][8][9] Previous studies have documented that the prevalence of enuresis is 22-42% among children with adenoid hypertrophy and 8-47% among children with upper airway obstruction, with prominent improvement of enuresis after surgery. [6,9,10] Regarding the relationship between nocturnal enuresis and adenoid hypertrophy, it has been emphasized that nocturnal enuresis may be a symptom, sign and result of adenoid hypertrophy [6][7][8][9] , and that the relationship has been mainly linked to sleep pathologies and upper airway obstruction caused by adenoid hypertrophy. It is highlighted that upper airway obstruction and sleep apnea increase water and sodium excretion by increasing the nighttime release of atrial natriuretic peptide due to the stimulation of right atrial receptors originating from alterations of intrathoracic pressure, which in turn, can cause enuresis.…”

Section: Introductionmentioning

confidence: 99%

Adenoid hypertrophy and nocturnal enuresis are associated with sleep disturbances

2020

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Objective: Adenoid hypertrophy and nocturnal enuresis, comorbidities that are quite prevalent among children, are both associated with sleep problems. However, limited research has specifically focused on sleep domains and their parameters. In the present study we thus aimed to investigate the impact of adenoid hypertrophy and nocturnal enuresis on sleep, both when the two disorders coexist and when they do not coexist. Methods: We investigated 178 children (mean age: 7.24±1.02 years, range=6-9 years), 50 (28.1%) of whom had only adenoid hypertrophy, 39 (21.9%) of whom had only nocturnal enuresis, 35 (19.7%) of whom had coexistence of adenoid hypertrophy and nocturnal enuresis, and 54 (30.3%) of whom were healthy-control children. Psychiatric disorders were diagnosed by a semi-structured diagnosis interview and the diagnosis of adenoid hypertrophy was confirmed by flexible fiberoptic nasopharyngoscopy. Sleep habits and disturbances were assessed via the Children's Sleep Habits Questionnaire and Modified Epworth Sleepiness Scale. Results: Our results showed that the comorbid condition was the most severe form in terms of both adenoid hypertrophy and enuresis. Regarding sleep difficulties, the "Sleep-Disordered Breathing", "Night Wakings", "Sleep Onset Delay" and "Sleep Duration" parameters were closely associated with adenoid hypertrophy and its severity, while "Bedtime Resistance", "Parasomnias" and "Sleep Anxiety" domains of sleep were strongly related to nocturnal enuresis. Conclusion: Otorhinolaryngologists, child psychiatrists and pediatricians should be aware of the relationship between enuresis and adenoid hypertrophy, that both diseases are associated with impaired sleep patterns, and that children affected by the comorbidity of the two disorders experience more sleep disturbances.

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“…While some authors have advocated the role of upper airway obstruction in PNE etiology, some others have not. [3][4][5][6] Furthermore, to the best of our knowledge, there is no study regarding this subject in which the degree of nasal obstruction is determined by objective methods.…”

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confidence: 99%

Relationship between primary nocturnal enuresis and geometry of nasal cavities

Güler¹

2019

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Bu çalışmada çocuklarda primer nokturnal enürezis (PNE) ve nazal kavite geometrisi arasındaki muhtemel ilişki araştırıldı. Hastalar ve Yöntemler: 01.06.2018 -31.07.2018 tarihleri arasında ikinci basamak bir hastanenin Kulak, Burun, Boğaz polikliniklerine başvuran toplam 150 hasta (78 erkek, 72 kadın; ort. yaş 7.6±1.8 yıl; dağılım, 5-12.5 yıl) çalışmaya alındı. Hastalar PNE olanlar (PNE (+), n=78) ve PNE olmayanlar (PNE (-), n=72) olmak üzere iki gruba ayrıldı. Her iki grup yaş, cinsiyet, boy, kilo, vücut kütle indeksi (VKİ) ve akustik rinometri ölçümleri (ARM) (MCA-1, MCA-2 ve VOL 0-5) açısından karşılaştırıldı. Bulgular: Gruplar arasında değerlendirilen parametrelerin hiçbirinde anlamlı bir fark yoktu. Ancak, MCA-1, MCA-2 ve VOL 0-5 değerleri PNE (-) gruba kıyasla, PNE (+) grupta anlamlı olarak düşüktü. Sonuç: Çalışmamızda nazal açıklık PNE hastalarında daha düşüktü. Bu nedenle, PNE hastalarının medikal tedaviye başlamadan önce nazal obstrüksiyon açısından otolaringolog tarafından değerlendirilmesini önermekteyiz.

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The relationship of enuresis nocturna and adenoid hypertrophy

Abstract: In this study we found that half of the children with EN had tonsillar hypertrophy, which was significantly higher than in the control group. Further studies are needed to clarify the exact relationship between UAO and EN.

Cited by 6 publications

References 19 publications

Üst solunum yolu obstrüktif patolojiler ile primer nokturnal enürezis arasındaki ilişkinin değerlendirilmesi

Üst solunum yolu obstrüktif patolojiler ile primer nokturnal enürezis arasındaki ilişkinin değerlendirilmesi

Adenoid hypertrophy and nocturnal enuresis are associated with sleep disturbances

Relationship between primary nocturnal enuresis and geometry of nasal cavities

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