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Enuresis and overactive bladder in children: what is the relationship between these two conditions?
Ariane Sampaio Sousa1, Maria Luisa Veiga1, Ana Aparecida N Braga1
1Escola Bahia de Medicina e Saúde Pública - Pos - Graduação, Salvador, Brasil.
Insights
In children with overactive bladder (OAB), holding maneuvers were the only independent factor predicting the resolution of nocturnal enuresis (NE). This finding highlights the importance of addressing these behaviors in OAB management.
Area of Science:
- Pediatric Urology
- Pediatric Nephrology
- Child Health
Background:
- Overactive bladder (OAB) is a common condition in children, often associated with nocturnal enuresis (NE).
- Understanding the clinical factors linked to NE in OAB patients is crucial for effective management.
Purpose of the Study:
- To evaluate clinical aspects associated with nocturnal enuresis (NE) in children diagnosed with overactive bladder (OAB).
Main Methods:
- Retrospective analysis of 200 children (age 5-16) diagnosed with OAB.
- OAB defined by urgency and/or daytime incontinence with holding maneuvers.
- Comparison of enuretic and non-enuretic groups using univariate and multivariate analyses.
Main Results:
- Enuresis was present in 141/200 children.
- Significant differences between groups included urgency, urge incontinence, and holding maneuvers.
- Multivariate analysis identified holding maneuvers as the sole independent predictive factor for enuresis resolution.
Conclusions:
- Holding maneuvers emerged as the only independent predictor for enuresis resolution in children with OAB.
- This suggests a key role for behavioral interventions targeting holding maneuvers in managing NE in this population.
Objective:
Evaluate clinical aspects associated with the presence of nocturnal enuresis (NE) in children with a diagnosis of overactive bladder (OAB).
Material And Methods:
A data base of 200 children who were evaluated by a structured questionnaire was analysed retrospectively . OAB was defined as the presence of urinary urgency (n=183 cases) and/or daytime urinary incontinence associated with holding maneuvers (n=168 cases). Inclusion criteria were a confirmed diagnosis of OAB, age 5-16 years, and no anatomical or neurological alterations of the urinary tract. Patients were divided into enuretics and non-enuretics. The two groups were compared with respect to sex, age, skin color, presence urinary infection, urgency, urge incontinence, non-urge incontinence, pollakiuria, urinary dysfunction, nocturia, holding maneuvers, number of episodes of enuresis and bowel alterations. In a univariate analysis, the chi-square test was used to compare proportions, with p-values <0.05 being considered significant. A multivariate analysis was conducted to identify independent predictive factors.
Results:
Enuresis was diagnosed in 141/200 children. The two groups were similar with respect to sex, age and skin color. No difference was found in relation to urinary infection, non-urge incontinence, urinary dysfunction, nocturia, encopresis or constipation. The two groups were significantly different with regard to some symptoms related to OAB such as urgency (p=0.001), urge incontinency (p=0.001) and holding maneuvers (p=0.033). Following multivariate analysis, only holding maneuvers (p=0.022) remained as an independent predictive factor.
Conclusion:
The only independent predictive factor for resolution of enuresis in children with OAB, as detected in the multivariate analysis, was holding maneuvers.
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