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Exploring the differences between mono- and polysymptomatic nocturnal enuresis.

Richard Butler1, Jon Heron,

  • 1Department of Clinical Psychology, Child & Adolescent Mental Health Services, East Leeds Primary Care Trust, Leeds, UK. richard.butler@leedsmh.nhs.uk

Scandinavian Journal of Urology and Nephrology
|August 19, 2006
PubMed
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Polysymptomatic nocturnal enuresis (bedwetting) is linked to more bladder and bowel issues than monosymptomatic enuresis. Distinguishing between these forms is key for effective treatment.

Area of Science:

  • Pediatrics
  • Urology
  • Child Psychology

Background:

  • Nocturnal enuresis classification distinguishes between mono- and polysymptomatic forms based on bladder overactivity.
  • This classification has clinical implications, but empirical data on associated symptoms and psychological functioning are limited.

Purpose of the Study:

  • To identify variables associated with monosymptomatic and polysymptomatic nocturnal enuresis.
  • To investigate symptom expression and psychological functioning in different forms of nocturnal enuresis using a large population survey.

Main Methods:

  • A cohort of 7935 children aged 7.5 years from the Avon Longitudinal Study of Parents and Children was analyzed.
  • Parental questionnaires collected data on bedwetting, daytime wetting, toileting behavior, bowel functioning, and psychological variables.

Related Experiment Videos

Main Results:

  • 194 children met the criteria for nocturnal enuresis, with 133 (68.5%) classified as monosymptomatic and 61 (31.5%) as polysymptomatic.
  • Polysymptomatic enuresis was significantly associated with multiple wetting episodes, daytime urinary urgency, need for toiling reminders, daytime wetting, and soiling.

Conclusions:

  • The ratio of monosymptomatic to polysymptomatic nocturnal enuresis was 2:1.
  • Polysymptomatic nocturnal enuresis presents with associated bladder and bowel problems.
  • Differentiating between these enuresis types is crucial for selecting appropriate treatment interventions.