Demographics of enuresis patients attending a referral centre
Yazan F Rawashdeh1, Gitte M Hvistendahl, Konstantinos Kamperis
1International Enuresis Research Centre, Aarhus University Hospital, Skejby, Aarhus, Denmark. jazcat@dadlnet.dk
Insights
This study compared the demographics of children with enuresis (bedwetting) treated at a specialized center with general population data. Findings confirmed the diverse nature of enuretic patients and identified associations with asthma and allergies.
Area of Science:
- Pediatric Urology
- Clinical Demography
- Allergology
Background:
- Childhood urinary incontinence, specifically enuresis, presents a heterogeneous patient population.
- Understanding the demographic profile of referred enuretic children is crucial for comparative analysis.
- Previous population-based studies offer a benchmark for enuretic demographics.
Purpose of the Study:
- To analyze and contrast the demographics of enuretic children (7-16 years) attending a tertiary referral center.
- To compare this cohort with healthy controls and existing population-based enuretic data.
- To investigate associations between enuresis and other medical conditions.
Main Methods:
- Retrospective analysis of 298 enuretic patients and 53 healthy controls from a specialized incontinence center.
- Data collection via standardized questionnaire interviews.
- Stratification of patients by symptom type and enuresis severity, followed by statistical analysis.
Main Results:
- The male-to-female ratio among enuretic patients was 2.2:1.
- Enuresis showed significant associations with a history of bronchial asthma (p < 0.05), verified allergy (p < 0.05), and a positive family history (p < 0.01).
- Monosymptomatic enuresis was most common (74.1%), followed by day and night incontinence (16.4%).
Conclusions:
- The demography of the referred enuretic population largely aligned with previously reported findings.
- The study reinforces the significant heterogeneity observed within the enuretic patient group.
- No association was found with psycho-developmental factors.
Objective:
To study and compare the demography of enuretic children 7-16 years old attending a tertiary referral centre for childhood urinary incontinence, with that of normal children and what is generally known about enuretics from population-based studies.
Methods And Materials:
This was a retrospective analysis of data compiled from 298 enuretic patients referred to The Centre of Child Incontinence, Aarhus University Hospital, Skejby, Denmark, and 53 healthy controls. Data was obtained by conducting standardised questionnaire interviews. Patients were stratified according to accompanying symptoms and severity of enuresis. Statistical analysis of the results was then performed.
Results:
Two hundred and ninety-three patients had sufficient data registered to allow reliable analysis. Male-female ratio was 2.2:1. Primary and secondary enuresis was found in 87.4% and 11.6% of the patients respectively. Enuresis was associated with a reported history of bronchial asthma (p < 0.05), verified allergy (p < 0.05) and a positive family history of the same disorder (p < 0.01). No association with psycho-developmental factors was evident. Approximately 98% of the patients had undergone some form of therapy at presentation. 74.1% of the patients had pure monosymptomatic enuresis, 16.4% had day and night time incontinence, while the remaining 9.6% had nocturnal incontinence combined with other lower urinary tract symptoms other than daytime wetting.
Conclusions:
The demography of our patient population was, with a few exceptions, within the confines of what has previously been reported. Our results also reaffirmed the heterogeneity of enuretic patients.
Related Concept Videos
01:21Nursing Assessment of the Genitourinary System I: Health History
01:30Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
01:17Urinary Tract Infection IV: Nursing Management
01:28Acute Pyelonephritis II: Diagnostic Studies and Management
01:28Urinary Tract Calculi V: Nursing Management
01:26Urine Studies II: Urine Culture and Sensitivity Test