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Psychiatric disturbance, urgency, and bacteriuria in children with day and night wetting
Insights
Daytime wetting in children, alongside night wetting, is linked to urgency and psychiatric issues. This condition affects both boys and girls, with specific associations like soiling in boys and bacteriuria in girls.
Area of Science:
- Pediatric Urology
- Child Psychology
- Clinical Medicine
Background:
- Nocturnal enuresis (night wetting) is common in children.
- The clinical features associated with daytime wetting (daytime enuresis) in conjunction with night wetting require further elucidation.
- Understanding these associations is crucial for effective diagnosis and management.
Purpose of the Study:
- To investigate the clinical features associated with combined day and night wetting in children.
- To compare children with both day and night wetting to those with night wetting only.
- To identify specific patterns or conditions linked to daytime wetting.
Main Methods:
- Comparative study involving 40 children with day and night wetting and 46 with night wetting only.
- Data collection through maternal interviews, teacher questionnaires, physical examinations, and functional bladder capacity measurements.
- Analysis of clinical features, including urgency, frequency, psychiatric disturbance, soiling, and bacteriuria.
Main Results:
- Combined day and night wetting occurred equally in boys and girls.
- Daytime urgency and increased psychiatric disturbance were significantly associated with combined wetting.
- Soiling was noted in boys with combined wetting; bacteriuria affected approximately 50% of girls, potentially due to day wetting.
- Daytime frequency and small functional bladder capacity were not specifically linked to daytime wetting.
Conclusions:
- Daytime wetting in children, when occurring with night wetting, is associated with specific clinical indicators such as urgency and psychiatric issues.
- The presence of soiling in boys and bacteriuria in girls highlights gender-specific clinical correlations.
- These findings aid in differentiating and managing enuresis subtypes.
Abstract:
Forty children with day and night wetting were compared with 46 with night wetting only to see if day wetting was then associated with particular clinical features. Interviews with mothers, questionnaries completed by teachers, physical investigations, and measurement of functional bladder capacities were used. Day wetting combined with bed wetting occurred equally in boys and girls and was associated with daytime urgency and greater frequency of psychiatric disturbance. In boys, soiling was also associated. In girls, bacteriuria, which appeared to be caused by the day wetting, occurred in about 50%. Neither daytime frequency nor small functional bladder capacity were specifically related to day wetting.