Sleep-Related Breathing Disorders and Lower Urinary Tract Dysfunction in Children and Adolescents: A Scoping Review
Maayke van Galen1,2, Bibi Huskens1,2, Benodet Tak2
1Behavioral Science Institute, Radboud University, Nijmegen, The Netherlands.
Neurourology and Urodynamics
|January 6, 2025
Summary
Sleep disordered breathing (SDB) is clearly linked to nocturnal enuresis (NE) in children. Adenotonsillectomy can effectively treat NE in SDB patients, but more research is needed for other urinary issues and developmental delays.
Area of Science:
- Pediatric Sleep Medicine
- Pediatric Urology
- Developmental Pediatrics
Background:
- Sleep disordered breathing (SDB), lower urinary tract dysfunction (LUTD), and nocturnal enuresis (NE) are prevalent in children and adolescents, impacting social and emotional development.
- While adult SDB-NE associations are known, pediatric research is limited, necessitating a review of current knowledge.
Conclusions:
- A strong link exists between SDB/Obstructive Sleep Apnea (OSA) and NE due to effects on arousal and nocturnal urine production.
- T&A is a potential treatment for NE in SDB patients unresponsive to standard therapies.
- Further research is crucial to understand mechanisms, explore associations with other LUTS/DDs, and guide multidisciplinary care for comorbid conditions.
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