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Do Sleep Disorders Influence the Prognosis and the Response to the Therapy in Enuretic Children?

Pietro Ferrara1, Ignazio Cammisa2, Margherita Zona2

  • 1Paediatric Unit, Campus Bio-Medico University, Rome, Italy.

Urology Research & Practice
|October 25, 2023
PubMed

Insights

Sleep disorders are common in children with nocturnal enuresis and can influence treatment outcomes. Combined therapies may reduce relapse rates in enuretic children with sleep issues.

Area of Science:

  • Pediatric Sleep Medicine
  • Child Urology
  • Clinical Pediatrics

Background:

  • Nocturnal enuresis is a common condition in children.
  • Sleep disorders can complicate the management of enuresis.
  • Understanding the link between sleep issues and enuresis is crucial for effective treatment.

Purpose of the Study:

  • To determine the prevalence of sleep disorders in children with nocturnal enuresis.
  • To investigate the impact of sleep disorders on enuresis treatment response.
  • To assess the risk of enuresis relapse in relation to sleep disorders and treatment type.

Main Methods:

  • A cohort of 114 children (5-14 years) with nocturnal enuresis and sleep disorders was assessed.
  • Sleep disorders evaluated included sleep apnea, bruxism, snoring, sleep talking, restless sleep, and somnambulism.
  • Patients received pharmacological and/or non-pharmacological treatments and were monitored for 3 months for relapse.

Main Results:

  • High prevalence of sleep disorders: snoring (57.8%), sleep talking (47.3%), bruxism (41.2%), restless sleep (15.7%), and sleep apnea (7%).
  • Relapse occurred in 37.7% of children, with similar rates in those with one versus multiple sleep disorders.
  • Dual therapy was associated with a lower risk of enuresis relapse.

Conclusions:

  • Sleep disorders are frequent comorbidities in enuretic children, affecting their clinical course.
  • Combined therapeutic approaches appear to reduce enuresis relapse rates within a 3-month follow-up.
  • A multidisciplinary approach is recommended for optimal management of enuretic children with sleep disorders.
Abstract

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