Infrequent enuresis, the uninvestigated majority comparisons between children with enuresis of varying severity

Maria Cederblad1, Anna Sarkadi1, Gunn Engvall2

  • 1Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

Insights

This study found no significant differences in bladder or kidney function between children with frequent enuresis (FE) and infrequent enuresis (IE). Children with infrequent enuresis were slightly older, and more likely to have had daytime incontinence previously.

Area of Science:

  • Pediatric Urology
  • Nephrology
  • Childhood Bladder Dysfunction

Background:

  • Nocturnal enuresis affects a significant number of children, with varying degrees of severity.
  • Understanding the underlying physiological and historical differences between enuresis types is crucial for effective management.

Purpose of the Study:

  • To compare children with frequent enuresis (FE) and infrequent enuresis (IE) based on historical data and bladder/kidney function.
  • To investigate a subgroup of children experiencing constant enuresis (CE).

Main Methods:

  • Parents recorded wet/dry nights for 14 days.
  • Voided volumes and nocturnal urine production were measured over 48 hours.
  • Relevant bladder and bowel history data were collected.

Main Results:

  • Children with infrequent enuresis (IE) were slightly older (mean 7.57 years) compared to frequent enuresis (FE) (mean 6.22 years) and constant enuresis (CE) (mean 6.56 years).
  • The FE group showed larger average daytime voided volumes when including the first morning void.
  • Previous daytime incontinence was more common in the IE group.

Conclusions:

  • No significant differences in bladder function or urine production were observed across enuresis severity groups.
  • Children with infrequent enuresis may present for medical help at a slightly older age.
Abstract

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