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Relationship between primary monosymptomatic enuresis and process toilet training: a case-control
Tânia Antunes Carvalho1, Mônica Maria de Almeida Vasconcelos1, José de Bessa2
1Departamento de Pediatria, Unidade de Nefrologia Pediátrica, Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brasil.
Summary
Toilet training readiness signals are less remembered in children with primary monosymptomatic nocturnal enuresis (PMNE). A child-oriented approach during toilet training (TT) was found to be protective against PMNE.
Area of Science:
- Pediatrics
- Urology
- Child Development
Background:
- Primary monosymptomatic nocturnal enuresis (PMNE) is a common childhood condition with complex causes.
- Understanding the role of toilet training (TT) in PMNE is crucial for effective management.
Purpose of the Study:
- To investigate the association between the toilet training process and primary monosymptomatic nocturnal enuresis (PMNE) in children and adolescents.
- To identify specific aspects of toilet training that may influence the occurrence of PMNE.
Main Methods:
- A case-control study was conducted between 2015 and 2020.
- 103 children with PMNE and 269 controls without PMNE were included.
- A semi-structured questionnaire assessed toilet training practices.
Main Results:
- Children with PMNE recalled readiness signals less frequently and remembered them less (p=0.001).
- No significant differences were observed in the age of onset for daytime/nocturnal TT, daytime continence acquisition, or equipment used.
- A lower use of the Child-Oriented approach was noted in children with PMNE (OR=0.44, p=0.039).
Conclusions:
- The age of TT onset, daytime continence acquisition, and equipment type were not linked to increased PMNE.
- A Child-Oriented approach to toilet training demonstrated a protective effect against primary monosymptomatic nocturnal enuresis.
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