Nocturnal enuresis

Area of Science:

• Urology
• Pediatrics
• Sleep Medicine

Background:

• Primary enuresis presents as diurnal-nocturnal or nocturnal types.
• Bladder instability is associated with the diurnal-nocturnal form.
• Normal cystometry characterizes the nocturnal type.

Purpose of the Study:

• To differentiate primary enuresis subtypes.
• To emphasize the role of sleep depth in enuresis.
• To describe a novel treatment approach.

Main Methods:

• Classification of primary enuresis into two main types.
• Assessment of bladder instability and cystometry.
• Evaluation of sleep depth's impact.
• Description of self-monitored, voluntary, escalating cystometry.

Main Results:

• Primary enuresis has two distinct types: diurnal-nocturnal with bladder instability and nocturnal with normal cystometry.
• Sleep depth is a crucial factor, especially in the diurnal-nocturnal type.

Conclusions:

• Understanding enuresis subtypes is key for effective management.
• The described cystometry method offers a self-managed treatment option.
• Further research into sleep's role in enuresis is warranted.