New insights in treatment of monosymptomatic enuresis. (July 2021)

• Record Type: Journal Article
• Authors: Bani-Hani, Morad; Alhouri, Abdullah; Sharabi, Alaa; Saleh, Saiel; Nawafleh, Sager; Al-zubi, Mohammad; Alkhatatbeh, Hassan; Y altal, ; Radi, M.A.; Al Houri, Hasan Nabil
• Is Part Of: Annals of medicine and surgery. Volume 67(2021)
• Publication Date: 2021-07
• Subjects: Nocturnal enuresis -- Monosymptomatic enuresis -- Bed-wetting -- Children; Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2021.102470
• Languages: English
• ISSNs: 2049-0801

Abstract

Abstract: Objective: Nocturnal enuresis (NE) is defined as uncontrollable bed-wetting for at least three consecutive months in children over 5 years. Sleep could be dramatically altered in children with primary nocturnal enuresis (PNE); consequently, this helps to confirm the assumption that PNE appears to modify sleep structure, or it might be the result of an irregular sleep structure itself. Method: This study conducted on 180 patients with monosymptomatic nocturnal enuresis. Their age was ranged from 6 to 18 years, and they were still having nocturnal enuresis episodes. We record two main points: first, if the child is a regular sleeper or not. The second point if the child is a regular bed wetter or not. This work fully compliant with the STROCCS criteria (Agha et al., 2019). Result: A total of 180 children were included (Male 122, 67.8%, Female 58, 32.2%). The mean age was 8.9 (±2.4). This study showed that children aged 7–10 years are significantly more inclined to be reported as specific time bed-wetter's, whereas those aged between 11 and 13 are significantly less likely to wet their bed at a specific time (p = 0.001). Children who tend to sleep more often near a specific time each night are 6.74 times more prone to bed-wet around a particular time during their sleep (p < 0.001). Conclusion: This study can be considered as hypothesis-generating that shed light on the possible correlation between the adherence to sleep at a specific time and its effect on the time of enuresis and the number of bedwetting. Highlights: Nocturnal enuresis is a common compliant among the pediatric age group. The incidence of Nocturnal enuresis varies with age. There is possible correlation between the adherence to sleep at a specific time and its effect on the time of enuresis and number of bedwetting. The majority of children who sleep at a particular time suffer from Nocturnal enuresis at a specific time and are younger than the rest of the children, while children who sleep at an unspecified time suffer from multiple bed wettings at an undetermined time. The chronobiology of micturition plays a vital role in the regulation of bedwetting in Monosymptomatic Nocturnal Enuresis (MNE) children.