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Nocturnal enuresis in the adolescent: a neglected problem
S Nappo1, R Del Gado, M L Chiozza
1Division of Pediatric Urology, 'Bambino Gesù', Children's Hospital, IRCCS, Rome, Italy. nappo@opbg.net
BJU International
|December 4, 2002
Summary
Adolescent bedwetting (enuresis) is a significant issue, with 80% experiencing severe symptoms and many not receiving adequate treatment. Further research is needed to improve adolescent enuresis management.
Area of Science:
- Urology
- Adolescent Medicine
- Pediatric Psychiatry
Background:
- Enuresis (bedwetting) data in adolescents is limited.
- Adolescent enuresis can persist and significantly impact quality of life.
- Understanding enuretic adolescent features is crucial for effective management.
Purpose of the Study:
- To assess the characteristics of adolescent bedwetters.
- To identify factors associated with enuresis in this age group.
- To evaluate treatment responses in enuretic adolescents.
Main Methods:
- A specialized database was created for adolescents and young adults with enuresis.
- Data collected included family/personal history, urinary control milestones, enuresis type, and treatment response.
- Collaborative effort involved pediatricians, urologists, gynecologists, and psychiatrists.
Main Results:
- 107 adolescents (mean age 15.3) were studied; 82% had a family history of enuresis.
- 79% had primary enuresis, 71% were monosymptomatic, and 80% had severe enuresis (≥3 nights/week).
- 40% received no prior therapy; desmopressin showed a 79% response rate, but 22% did not respond, and 23% had low compliance.
Conclusions:
- Enuresis persists into adolescence, often severely, with associated daytime symptoms.
- Treatment can be challenging due to non-response and compliance issues.
- Adolescent enuresis warrants further investigation to ensure timely and adequate treatment.