Recent Advances in Managing and Understanding Enuresis
Overview
Science
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Enuresis, particularly in children during sleep, can be a debilitating condition, affecting the quality of life of the child and his or her family. The pathophysiology of nocturnal enuresis, though not clear, revolves around the inter-related mechanisms of overactive bladder, excessive nocturnal urine production, and sleep fragmentation. The first mechanism is more related to isolated nocturnal voiding, whereas the latter two are more related to nocturnal enuresis, in which circadian variations in arginine vasopressin hormone play a key role. A successful treatment would depend upon appropriately addressing the key factors precipitating nocturnal enuresis, necessitating an accurate diagnosis. Thus, advancements in diagnostic tools and treatment options play a key role in achieving overall success. This review summarizes recent advances in understanding the pathophysiology of nocturnal enuresis, diagnostic tools, and treatment options which can be explored in the future.
Sleep Disturbances in Children With Atopic Dermatitis: A Scoping Review.
Lee D, Gui X, Mukovozov I, Fleming P, Lynde C J Cutan Med Surg. 2023; 27(2):157-164.
PMID: 36880965 PMC: 10068401. DOI: 10.1177/12034754231159337.
Incontinence and sleep disturbances in young children: A population-based study.
von Gontard A, Mattheus H, Friese-Jaworsky J, Moritz A, Thome-Granz S, Roozen S Neurourol Urodyn. 2022; 41(2):633-642.
PMID: 34989456 PMC: 9306626. DOI: 10.1002/nau.24866.
Chen Y, Chen C, Strollo Jr P, Li C, Ko W, Lin C J Clin Med. 2021; 10(21).
PMID: 34768728 PMC: 8585117. DOI: 10.3390/jcm10215206.
Hu H, Zhang Z, Liang Y, Luo Y, Dou Q, Song C Int Neurourol J. 2021; 25(1):84-92.
PMID: 33819961 PMC: 8022166. DOI: 10.5213/inj.2040398.149.
Disposable diaper overuse is associated with primary enuresis in children.
Li X, Wen J, Shen T, Yang X, Peng S, Wang X Sci Rep. 2020; 10(1):14407.
PMID: 32873840 PMC: 7462848. DOI: 10.1038/s41598-020-70195-8.