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.
Objective:
The main objective was to compare children with frequent enuresis (FE) and children with infrequent enuresis (IE) using anamnestic data and variables related to bladder and kidney function. A secondary aim was to look at the group of children who wet their beds every single night, a phenomenon we chose to call constant enuresis (CE).
Subjects And Methods:
The parents recorded the number of wet and dry nights for a period of 14 days, and measured the voided volumes as well as nocturnal urine production for 48 h. History data relevant to bladder and bowel function was also recorded.
Results:
The children could be grouped as follows: IE, n = 14; FE, n = 18; and CE, n = 22. The children with IE were slightly older than the other groups, IE mean 7.57; FE mean 6.22; CE, mean 6.56 (p = 0.004). When comparing the groups in terms of the measured parameters, only one significant difference was found: the FE group had larger average daytime voided volumes, but only when the first morning void was included. The only significantly differing anamnestic variable was previous daytime incontinence, which was more common among the children in the IE group.
Conclusions:
When comparing children with varying enuresis severity, no major differences regarding bladder function and urine production were found. Furthermore, children with infrequent enuresis tend to be slightly older when they seek medical help.
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