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The effect of adenotonsillectomy on pediatric nocturnal enuresis: a prospective cohort study

Mohammad Saeed Ahmadi1, Shahriar Amirhassani, Jalal Poorolajal

  • 1Department of Otolaryngology & Head and Neck surgery, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran .

Iranian Journal of Otorhinolaryngology
|December 5, 2013
PubMed

Insights

Adenotonsillar hypertrophy can cause childhood enuresis. Adenotonsillectomy (adenoid and tonsil removal) significantly improved or resolved bedwetting in over 85% of children studied.

Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Urology
  • Sleep Medicine

Background:

  • Sleep disorders linked to adenotonsillar hypertrophy are a known cause of childhood nocturnal enuresis.
  • Adenotonsillar hypertrophy can lead to primary and secondary enuresis in children.

Purpose of the Study:

  • To investigate the efficacy of adenotonsillectomy in treating enuresis in children with adenotonsillar hypertrophy.
  • To evaluate the impact of adenotonsillectomy on nocturnal enuresis resolution and improvement.

Main Methods:

  • Prospective cohort study involving 97 children (aged 3-12) with adenotonsillar hypertrophy undergoing adenotonsillectomy.
  • Data collected via questionnaire on enuresis incidents, type, and family history; follow-up for 3 months post-operation.
  • Included urine analysis and comparison of pre- and post-operative bedwetting frequency.

Main Results:

  • Of 97 children with pre-operative enuresis, 84 participated.
  • Three months post-adenotonsillectomy, 60.7% experienced complete enuresis resolution, and 26.2% showed relative improvement.
  • Enuresis persisted in 13.1% of children (P<0.001).

Conclusions:

  • Adenotonsillectomy demonstrates significant potential for improving nocturnal enuresis in children with adenotonsillar hypertrophy.
  • Further large-scale, multi-center randomized clinical trials are warranted to validate these findings.
Abstract

Keywords:
AdenoidsCohort studiesEnuresisHypertrophyIran

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