Effects of Adenotonsillar Hypertrophy Corrective Surgery on Nocturnal Enuresis of Children

Overview

Journal Niger Med J

Specialty General Medicine

Date 2016 May 18

PMID 27185983

Citations 2

Authors

Shahin Abdollohi-Fakhim

Arefeh Talebi

Mohammad Naghavi-Behzad

Reza Piri

Mohammad Sadra Nazari

Affiliations

Soon will be listed here.

Abstract

Background: Nocturnal enuresis is considered a common urological complaint especially among children. Respiratory obstructive diseases have been one of the possible etiologies of such a condition. The most common type of upper respiratory obstructive diseases in childhood is adenotonsillar hypertrophy. In this study, it was tried to estimate the prevalence of nocturnal enuresis in adenotonsillar hypertrophy as an upper obstructive airway disease and cure rate after corrective operation.

Materials And Methods: In this longitudinal study, 184 children with adenotonsillar hypertrophy as case group and 200 healthy children as control group were randomly compared for nocturnal enuresis incidence and risk factors. Then they were followed after 6 months to estimate the cure rate after corrective operation.

Results: In case group, nocturnal enuresis was more common than control group (26% vs. 17%, P = 0.1). Factors which had a role in enuresis in case group were family history (P = 0.03) and male sex (P = 0.05). Three months after surgery, 48% of children totally cured from enuresis (P = 0.001) and 71% cured both partially or totally (P = 0.03). The response rate after moderate obstruction relieving was 100% while that in severe cases was 60% (P = 0.2).

Conclusions: Nocturnal enuresis due to upper obstructive airway disease occurs more in male and in the presence of family history. The cure rate after 6 months of operation was more prominent in moderate obstruction which suggests enuresis in severe airway obstruction may need a longer time to subside. Cure rate of primary enuresis due to obstructive airway disease after 6 months of relieving was 48% in children over 5 years old.

Citing Articles

Relationship Between Obstructive Sleep Apnea and Enuresis in Children: Current Perspectives and Beyond.

Wang Z, Zhang P, Shi R, Yang S, Liu K, Zhou Z Nat Sci Sleep. 2025; 17:211-222.

PMID: 39926476 PMC: 11804225. DOI: 10.2147/NSS.S489710.

Enuresis and upper airway obstruction: BNP and ADH hormones behavior before and after airway surgery.

Ribeiro A, Bastos Netto J, Avarese de Figueiredo A, Candido T, Guercio W, Zica B Int Braz J Urol. 2022; 48(6):937-943.

PMID: 36173405 PMC: 9747030. DOI: 10.1590/S1677-5538.IBJU.2022.0313.

Noninvasive imaging of brain oxygen metabolism in children with primary nocturnal enuresis during natural sleep.

Yu B, Huang M, Zhang X, Ma H, Peng M, Guo Q Hum Brain Mapp. 2017; 38(5):2532-2539.

PMID: 28195439 PMC: 6866848. DOI: 10.1002/hbm.23538.

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