Nocturnal Enuresis: A Review and Focus on The Treatment Modalities of Monosymptomatic Nocturnal Enuresis

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Prakasit Wannapaschaiyong
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Published: Feb 26, 2022
DOI: https://doi.org/10.31524/bkkmedj.2022.13.003
Keywords:
Nocturnal enuresis, Monosymptomatic, Pathogenesis, Treatment

Main Article Content

Prakasit Wannapaschaiyong, MD
Department of Pediatrics, Taksin Hospital, Bangkok, Thailand
Sitthiphon Bunman, PhD
Faculty of Medicine, Thammasat University, Pathumthani, Thailand.

Abstract

Nocturnal enuresis is a common problem in children. It has significant psychological impacts on both children and families. Nocturnal enuresis refers to an inability to hold urine during sleep at night. The cause of nocturnal enuresis may result from several related factors. The evaluation requires a thorough history, a complete physical examination, a voiding diary, and an appropriate investigation. Treatment can be tailored according to the patient’s underlying cause. In the present study, the author aimed to assemble etiologies, diagnosis evaluation, modalities of treatment, and general information about nocturnal enuresis.

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How to Cite
1.
Wannapaschaiyong, MD P, Bunman, PhD S. Nocturnal Enuresis: A Review and Focus on The Treatment Modalities of Monosymptomatic Nocturnal Enuresis. BKK Med J [Internet]. 2022 Feb. 26 [cited 2024 Jul. 27];18(1):56. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/256073
Issue
Vol. 18 No. 1 (2022): February
Section
Reviews Article
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References

1. Jönson Ring I, Nevéus T, Markström A, et al. Nocturnal enuresis impaired children's quality of life and friendships. Acta Paediatr. 2017;106(5):806-11.

2. Collis D, Kennedy-Behr A, Kearney L. The impact of bowel and bladder problems on children's quality of life and their parents: A scoping review. Child Care Health Dev. 2019;45(1):1-14.

3. Hansakunachai T, Ruangdaraganon N, Udomsubpayakul U, et al. Epidemiology of enuresis among school-age children in Thailand. J Dev Behav Pediatr. 2005;26(5):356-60.

4. Perez J. Early intervention for childhood continence problems. Community Pract. 2014;87(7):44-6.

5. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. 5ed. American Psychiatric Association DSMTF, editors. Arlington, VA: American Psychiatric Association; 2013.

6. Austin PF, Bauer SB, Bower W, et al. The standardization of terminology of lower urinary tract function in children and adolescents: Update report from the standardization committee of the International Children's Continence Society. Neurourol Urodyn. 2016;35(4):471-81.

7. Thurber S. Childhood Enuresis: Current Diagnostic Formulations, Salient Findings, and Effective Treatment Modalities. Arch Psychiatr Nurs. 2017;31(3):319-23.

8. Sarici H, Telli O, Ozgur BC, et al. Prevalence of nocturnal enuresis and its influence on quality of life in school-aged children. J Pediatr Urol. 2016;12(3):159 e1-6.

9. Neveus T. Pathogenesis of enuresis: Towards a new understanding. Int J Urol. 2017;24(3):174-82.

10. Kanaheswari Y. Epidemiology of childhood nocturnal enuresis in Malaysia. J Paediatr Child Health. 2003;39(2):118-23.

11. Yousef KA, Basaleem HO, bin Yahiya MT. Epidemiology of nocturnal enuresis in basic schoolchildren in Aden Governorate, Yemen. Saudi J Kidney Dis Transpl. 2011;22(1):167-73.

12. Hashem M, Morteza A, Mohammad K, et al. Prevalence of nocturnal enuresis in school aged children: the role of personal and parents related socio-economic and educational factors. Iran J Pediatr. 2013;23(1):59-64.

13. Bakhtiar K, Pournia Y, Ebrahimzadeh F, et al. Prevalence of nocturnal enuresis and its associated factors in primary school and preschool children of khorramabad in 2013. Int J Pediatr. 2014;2014:120686.

14. Eneh CI, Okafor HU, Ikefuna AN, et al. Nocturnal enuresis: prevalence and risk factors among school-aged children with sickle-cell anaemia in a South-east Nigerian city. Ital J Pediatr. 2015;41:66.

15. Walker RA. Nocturnal Enuresis. Prim Care. 2019;46(2):243-248.

16. Hublin C, Kaprio J, Partinen M, et al. Nocturnal enuresis in a nationwide twin cohort. Sleep. 1998;21(6):579-85.

17. Caldwell P, Deshpande A. Nocturnal enuresis resource kit 2nd edition-a tool for healthcare professionals: The Children's Hospital at Westmead and John Hunter Children's Hospital 2018 [cited 2022 Jan 16]. Available from: https://www.neresourcekit.com.au/Nocturnal%20Enuresis%20Resource%20Kit%20second%20edition.pdf.

18. Kim JM, Park JW, Lee CS. Evaluation of nocturnal bladder capacity and nocturnal urine volume in nocturnal enuresis. J Pediatr Urol. 2014;10(3):559-63.

19. Tu ND, Baskin LS, Amhym AM. Nocturnal enuresis in children: etiology and evaluation 2021 [cited 2022 Jan 16]. Available from: https://www.uptodate.com/contents/nocturnal-enuresis-in-children-etiology-and-evaluation?sectionName=EPIDEMIOLOGY%20AND%20NATURAL%20HISTORY&topicRef=2863&anchor=H2&source=see_link#H1.

20. Watanabe H. Sleep patterns in children with nocturnal enuresis. Scand J Urol Nephrol Suppl. 1995;173:55-6; discussion 56-7.

21. Veiga ML, Lordelo P, Farias T, et al. Constipation in children with isolated overactive bladders. J Pediatr Urol. 2013;9:945-9.

22. Wallace KM, Drake MJ. Overactive bladder. F1000Res. 2015;7(4):F1000 Faculty Rev-1406.

23. Neveus T, Hetta J, Cnattingius S, et al. Depth of sleep and sleep habits among enuretic and incontinent children. Acta Paediatr. 1999;88(7):748-52.

24. Veeravigrom M, Desudchit T. Prevalence of Sleep Disorders in Thai Children. Indian J Pediatr. 2016;83(11):1237-41.

25. Su MS, Xu L, Pan WF, et al. Current perspectives on the correlation of nocturnal enuresis with obstructive sleep apnea in children. World J Pediatr. 2019;15(2):109-16.

26. Jarvelin MR. Developmental history and neurological findings in enuretic children. Dev Med Child Neurol. 1989;31(6):728-36.

27. Jarvelin MR, Moilanen I, Kangas P, et al. Aetiological and precipitating factors for childhood enuresis. Acta Paediatr Scand. 1991;80(3):361-9.

28. von Gontard A, Freitag CM, Seifen S, et al. Neuromotor development in nocturnal enuresis. Dev Med Child Neurol. 2006;48(9):744-50.

29. Buckley BS, Lapitan MC, Epidemiology Committee of the Fourth International Consultation on Incontinence. Prevalence of urinary incontinence in men, women, and children current evidence: findings of the Fourth International Consultation on Incontinence. Urology. 2010;76(2):265-70.

30. Bogaert G, Stein R, Undre S, et al. Practical recommendations of the EAU-ESPU guidelines committee for monosymptomatic enuresis-Bedwetting. Neurourol Urodyn. 2020;39(2):489-97.

31. Centre NCG. Bedwetting in children and young people overview. London2020 [cited 2022 Jan 16]. Available from: https://pathways.nice.org.uk/pathways/bedwetting-in-children-and-young-people.

32. Vande Walle J, Rittig S, Tekgul S, et al. Enuresis: practical guidelines for primary care. Br J Gen Pract. 2017;67(660):328-9.

33. Kang BJ, Chung JM, Lee SD. Evaluation of Functional Bladder Capacity in Children with Nocturnal Enuresis According to Type and Treatment Outcome. Res Rep Urol. 2020;12:383-9.

34. Tu ND, Baskin LS. Nocturnal enuresis in children: management 2020 [cited 2022 Jan 16]. Available from: https://www.uptodate.com/contents/nocturnal-enuresis-in-children-management.

35. O'Flynn N. Nocturnal enuresis in children and young people: NICE clinical guideline. Br J Gen Pract. 2011;61(586):360-2.

36. Graham KM, Levy JB. Enuresis. Pediatr Rev. 2009;30(5):165-72.; quiz 73.

37. Van Herzeele C, De Bruyne P, De Bruyne E, Walle JV. Challenging factors for enuresis treatment: Psychological problems and non-adherence. J Pediatr Urol. 2015;11(6):308-13.