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The relationship of enuresis nocturna and adenoid hypertrophy

Muhsin Balaban1, Alper Aktas, Cuneyd Sevinc

  • 1Medicana International Istanbul Hospital, Urology Clinic, Istanbul. muhsinbalaban1980@yahoo.com.

Archivio Italiano Di Urologia, Andrologia : Organo Ufficiale [Di] Societa Italiana Di Ecografia Urologica E Nefrologica
|July 6, 2016
PubMed

Insights

Half of children with enuresis nocturna (EN) had tonsillar hypertrophy, a condition more prevalent than in controls. This suggests a link between upper airway obstruction (UAO) and childhood bedwetting, warranting further investigation.

Area of Science:

  • Pediatric Urology
  • Otolaryngology
  • Sleep Medicine

Background:

  • Enuresis nocturna (EN), or childhood bedwetting, is a common condition with potential underlying causes.
  • Upper airway obstruction (UAO) can affect children's health and development.
  • The relationship between EN and UAO requires further elucidation.

Purpose of the Study:

  • To investigate the association between enuresis nocturna (EN) and upper airway obstruction (UAO) in children.
  • To compare the prevalence of UAO indicators in children with and without EN.

Main Methods:

  • A prospective, multi-center study involving 79 children with EN and 64 age-matched controls.
  • Participants completed a dysfunctional elimination syndrome (DES) questionnaire.
  • Children underwent an ear, nose, and throat (ENT) examination to assess UAO, including tonsillar hypertrophy and nasopharyngeal obstruction.

Main Results:

  • Children with EN reported significant differences in urinary urgency, bladder emptying, bowel symptoms, and psychological stress compared to controls.
  • A significant difference in the rates of tonsillar hypertrophy and nasopharyngeal obstruction was observed between the EN group and the control group (p = 0.009).
  • Approximately 50% of children with EN exhibited tonsillar hypertrophy.

Conclusions:

  • Half of the children experiencing enuresis nocturna had tonsillar hypertrophy, a rate significantly higher than in the control group.
  • The findings suggest a potential link between upper airway obstruction and enuresis nocturna in children.
  • Further research is recommended to clarify the precise relationship between UAO and EN.
Abstract

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