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2. Enuresis

Enuresis Enuresis - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Enuresis Last reviewed: February 2019 Last updated: January 2018 Summary Primarily nocturnal symptoms in children older than 5 years of age. Differentials include diabetes, medications, emotional problems, UTI, spina bifida, seizure disorder, and neurogenic bladder. Treatment is commonly involves behavioural changes, alarm therapy, or desmopressin (...) . Emotional support and encouragement is vital to management. Definition Enuresis is defined as normal micturition that occurs at an inappropriate or socially unacceptable time or place. As recommended by International Children's Continence Society, in this monograph 'enuresis' is reserved for micturition during sleep, or bedwetting. Daytime wetting is called 'incontinence'. History and exam presence of risk factors increased fluid intake at night urinary frequency constipation caffeine and other bladder

2018 BMJ Best Practice

3. Tricyclic and related drugs for nocturnal enuresis in children. (PubMed)

Tricyclic and related drugs for nocturnal enuresis in children. Enuresis (bedwetting) affects up to 20% of five year-olds and 2% of adults. Although spontaneous remission often occurs, the social, emotional and psychological costs can be great. Tricyclics have been used to treat enuresis since the 1960s.To assess the effects of tricyclic and related drugs compared with other interventions for treating children with enuresis.We searched the Cochrane Incontinence Group Specialised Trials Register (...) (containing trials identified from the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, MEDLINE in process, ClinicalTrials.gov, WHO ICTRP and handsearching of journals and conference proceedings), on 30 November 2015, and reference lists of relevant articles.We included all randomised and quasi-randomised trials comparing a tricyclic or related drug with another intervention for treating enuresis. We also included combination therapies that included tricyclics. We excluded trials

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2016 Cochrane

4. A case study: Effects of foot reflexotherapy on ADHD symptoms and enuresis nocturia in a child with ADHD and enuresis nocturia. (PubMed)

A case study: Effects of foot reflexotherapy on ADHD symptoms and enuresis nocturia in a child with ADHD and enuresis nocturia. Symptoms of Attention-Deficit Hyperactivity Disorder (ADHD) can occur in association with enuresis nocturia. Alternative therapies may be effective in addressing the maladies of children with ADHD comorbidities. The purpose of this study was to investigate the effects of foot reflexotherapy in a child with ADHD and enuresis nocturia.The patient was an 8-year-old child (...) with ADHD and enuresis nocturia. Pre- and post-tests for ADHD were completed using Vanderbilt ADHD Diagnostic Teacher Rating Scale. The subject was treated with foot reflexotherapy for 20-min per session twice per week for a period of 8 weeks.The child showed improvement in ADHD symptoms and his enuresis nocturia disappeared completely after foot reflexotherapy.Foot reflexotherapy was effective in improving inattention, hyperactivity in the child with ADHD. The results of this novel study suggest

2018 Complementary Therapies in Clinical Practice

5. Evaluation of the Effectiveness of a Short Term Treatment and Repeat Treatment of Nocturnal Enuresis Using an Enuresis Alarm. (PubMed)

Evaluation of the Effectiveness of a Short Term Treatment and Repeat Treatment of Nocturnal Enuresis Using an Enuresis Alarm. To evaluate the effectiveness of a 3-month enuresis alarm (EA) treatment and repeat EA treatment among pediatric patients with nocturnal enuresis, and to compare patient characteristics among "responders" and "nonresponders" to treatment.Clinical outcomes were retrospectively evaluated for 137 children (94 boys and 43 girls, mean age, 10.1 years). Effectiveness

2017 Urology

6. Does primary nocturnal enuresis affect childrens’ self-esteem?

Does primary nocturnal enuresis affect childrens’ self-esteem? Does primary nocturnal enuresis affect childrens’ self-esteem? Toggle navigation Shared more. Cited more. Safe forever. Toggle navigation View Item JavaScript is disabled for your browser. Some features of this site may not work without it. Search MOspace This Collection Browse Statistics Does primary nocturnal enuresis affect childrens’ self-esteem? View/ Open Date 2015-04 Contributor Format Metadata Abstract Q: Does primary (...) nocturnal enuresis affect childrens’ self-esteem? A: Yes. Children with primary nocturnal enuresis often, but not always, score about 10% lower on standardized rating scales for self esteem, or scores for symptoms similar to low self-esteem (sadness, anxiety, social fears, distress) than children without enuresis (strength of recommendation [SOR]: B, systematic review of cohort and case-control studies with some heterogenous results). Enuretic children 8 to 9 years of age are less likely to have lower

2015 Clinical Inquiries

7. Does primary nocturnal enuresis affect childrens’ self-esteem?

Does primary nocturnal enuresis affect childrens’ self-esteem? Does primary nocturnal enuresis affect childrens’ self-esteem? Toggle navigation Shared more. Cited more. Safe forever. Toggle navigation View Item JavaScript is disabled for your browser. Some features of this site may not work without it. Search MOspace This Collection Browse Statistics Does primary nocturnal enuresis affect childrens’ self-esteem? View/ Open Date 2015-04 Contributor Format Metadata Abstract Q: Does primary (...) nocturnal enuresis affect childrens’ self-esteem? A: Yes. Children with primary nocturnal enuresis often, but not always, score about 10% lower on standardized rating scales for self esteem, or scores for symptoms similar to low self-esteem (sadness, anxiety, social fears, distress) than children without enuresis (strength of recommendation [SOR]: B, systematic review of cohort and case-control studies with some heterogenous results). Enuretic children 8 to 9 years of age are less likely to have lower

2015 Clinical Inquiries

8. Can Chinese herbal medicine really treat children with nocturnal enuresis? A meta-analysis

Can Chinese herbal medicine really treat children with nocturnal enuresis? A meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites

2019 PROSPERO

9. Influence of rapid maxillary expansion on nocturnal enuresis in children and adolescents: a systematic review

Influence of rapid maxillary expansion on nocturnal enuresis in children and adolescents: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files

2019 PROSPERO

10. The Diagnosis and Treatment of Enuresis and Functional Daytime Urinary Incontinence. (PubMed)

The Diagnosis and Treatment of Enuresis and Functional Daytime Urinary Incontinence. Elimination disorders in childhood are common and treatable. Approximately 10% of 7-year-olds wet the bed at night, and 6% are affected by incontinence during the daytime. Two main types of disturbance are distinguished: nocturnal enuresis and functional (i.e., non-organic) daytime urinary incontinence. Each type contains a wide variety of subtypes. Effective treatment requires precise identification (...) incontinence next, and enuresis last. 20-50% of children with elimination disorders have a comorbid mental disorder that also needs to be treated. With standard urotherapy, 56% of patients with daytime urinary incontinence become dry within a year. This conservative, symptom-oriented approach consists of educating the patient and his or her parents to promote behavior changes with respect to drinking and micturition. Elements of specific urotherapy are provided only if indicated. For enuresis

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2019 Deutsches Arzteblatt international

11. Abnormal Thalamic Functional Connectivity During Light Non-Rapid Eye Movement Sleep in Children With Primary Nocturnal Enuresis. (PubMed)

Abnormal Thalamic Functional Connectivity During Light Non-Rapid Eye Movement Sleep in Children With Primary Nocturnal Enuresis. The present work investigated abnormalities of thalamocortical and intrathalamic functional connectivity (FC) in children with primary nocturnal enuresis (PNE) during light non-rapid eye movement (NREM) sleep using a simultaneous electroencephalography-functional magnetic resonance imaging (EEG-fMRI) method.Polysomnographic and EEG-MRI data were obtained during sleep (...) , prefrontal and temporal subdivisions of the thalamus.Abnormal prefrontal and parietal thalamocortical FCs, accompanied by abnormal intrathalamic FCs among the motor, occipital, prefrontal and temporal subdivision of thalamus during light NREM sleep, may be related to abnormal sleep and enuresis in children with PNE.Copyright © 2019. Published by Elsevier Inc.

2019 Journal of the American Academy of Child and Adolescent Psychiatry

12. Simple behavioural interventions for nocturnal enuresis in children. (PubMed)

Simple behavioural interventions for nocturnal enuresis in children. Nocturnal enuresis (bedwetting) is a socially disruptive and stressful condition which affects around 15% to 20% of five year olds and up to 2% of adults. Although there is a high rate of spontaneous remission, the social, emotional and psychological costs can be great. Behavioural interventions for treating bedwetting are defined as interventions that require a behaviour or action by the child which promotes night dryness (...) and includes strategies which reward that behaviour. Behavioural interventions are further divided into:(a) simple behavioural interventions - behaviours or actions that can be achieved by the child without great effort; and(b) complex behavioural interventions - multiple behavioural interventions which require greater effort by the child and parents to achieve, including enuresis alarm therapy.This review focuses on simple behavioural interventions.Simple behavioural interventions are often used

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2013 Cochrane

13. Bedwetting (enuresis)

Bedwetting (enuresis) Bedwetting (enuresis) - NICE CKS Share Bedwetting (enuresis): Summary Bedwetting is involuntary wetting during sleep, without any inherent suggestion of frequency or pathophysiology. Bedwetting can be classified as: Primary bedwetting — the child has never achieved sustained continence at night. Secondary bedwetting — bedwetting occurs after the child has been dry at night for more than 6 months. Primary bedwetting without daytime symptoms is thought to be caused by sleep (...) fluid intake, diet, and toileting patterns. In children < 5 years of age, reassurance that many children younger than 5 years of age wet the bed and that this usually resolves without treatment In children > 5 years of age, if bedwetting is infrequent (less than twice a week), reassurance that bedwetting may resolve without treatment and offering the option of a wait-and-see approach. If long-term treatment is required, treatment with an enuresis alarm (first-line treatment) should be offered

2017 NICE Clinical Knowledge Summaries

14. Desmopressin versus Oxybutynin for Nocturnal Enuresis in Children in Bandar Abbas: A Randomized Clinical Trial. (PubMed)

Desmopressin versus Oxybutynin for Nocturnal Enuresis in Children in Bandar Abbas: A Randomized Clinical Trial. Nocturnal enuresis is among the most common disorders in children. Several pharmacological and non-pharmacological treatments are available for nocturnal enuresis. Studies for reaching the best pharmacological treatment for this disorder are continuing.To compare the effectiveness and safety of Desmopressin and oxybutynin for treatment of nocturnal enuresis in children from Bandar (...) Abbas in 2014.This randomized controlled trial was conducted in 2014 and participants included 66 children with nocturnal enuresis who were more than 5 years old. Patients were randomly assigned into two groups. The first group received 120 microgram Desmopressin daily for 2 months, then 60 microgram daily for 2 months, then 60 microgram every 2 days. The second group received 5 mg oxybutynin twice a day for 6 months. The patients were followed after 1, 3, and 6 months to track treatment response

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2016 Electronic physician Controlled trial quality: uncertain

15. Abnormal neural responses to emotional stimuli in children with primary monosymptomatic nocturnal enuresis. (PubMed)

Abnormal neural responses to emotional stimuli in children with primary monosymptomatic nocturnal enuresis. Nocturnal enuresis (NE) is a common disorder in school-aged children that has been reported to affect nearly 10% of 7-year-old children and affects both the children and their families. Previous studies have shown that the risk of psychosocial difficulties in children with enuresis is elevated. Thus, children with NE may experience negative effects on psychosocial health or emotion

2018 European child & adolescent psychiatry

16. Pre- and post-operative evaluation of the frequency of nocturnal enuresis and Modified Pediatric Epworth Scale in pediatric obstructive sleep apnea patients. (PubMed)

Pre- and post-operative evaluation of the frequency of nocturnal enuresis and Modified Pediatric Epworth Scale in pediatric obstructive sleep apnea patients. To investigate the beneficial effect of adenotonsillectomy (AT) on nocturnal enuresis (NE) in children with adenotonsillar hypertrophy and evaluate the Modified Pediatric Epworth Scale (MPES).This was a prospective study comparing preoperative and postoperative evaluation of the frequency of NE and MPES in pediatric obstructive sleep apnea (...) (OSA). A questionnaire on NE history was prepared based on the Turkish Enuresis Guidelines. NE histories were evaluated pre- and postoperatively on the first month and third month, respectively. MPES questions were asked to the parents of all the OSA patients pre- and postoperatively, and scores were noted.Eighty-four (84) pediatric OSA patients were involved in the study. Preoperatively, 19 patients (27%) complained about nocturnal enuresis. After the surgery, 52% of the patients with NE had

2018 International Journal of Pediatric Otorhinolaryngology

17. Desmopressin Withdrawal Strategy for Pediatric Enuresis: A Meta-analysis (PubMed)

Desmopressin Withdrawal Strategy for Pediatric Enuresis: A Meta-analysis A high relapse rate after discontinuation of desmopressin treatment of pediatric enuresis is consistently reported. Structured withdrawal strategies have been used to prevent relapse.To assess the efficacy of a structured withdrawal strategy of desmopressin on the relapse-free rate for desmopressin responder pediatric enuresis.Systematic literature search up to November 2015 on Medline, Embase, Ovid, Science Direct, Google (...) Scholar, Wiley Online Library databases, and related references without language restriction.Related clinical trials were summarized for systematic review. Randomized controlled trials on the efficacy of structured versus abrupt withdrawal of desmopressin in sustaining relapse-free status in pediatric enuresis were included for meta-analysis.Eligible studies were evaluated according to Cochrane Collaboration recommendations. Relapse-free rate was extracted for relative risk (RR) and 95% confidence

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2016 EvidenceUpdates

18. Morphometric Magnetic Resonance Imaging Study in Children With Primary Monosymptomatic Nocturnal Enuresis (PubMed)

Morphometric Magnetic Resonance Imaging Study in Children With Primary Monosymptomatic Nocturnal Enuresis Primary monosymptomatic nocturnal enuresis (PMNE) refers to bed-wetting in children who have no other lower urinary tract symptoms and are never dry for more than 6 months. Our previous studies demonstrated that children with PMNE exhibited brain functional abnormalities compared with healthy controls; however, researches on the abnormalities in gray matter were limited. This study aimed

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2018 Frontiers in pediatrics

19. Can Seasons be an Etiologic Factor for Monosymptomatic Nocturnal Enuresis? (PubMed)

Can Seasons be an Etiologic Factor for Monosymptomatic Nocturnal Enuresis? Introduction Primary nocturnal enuresis is the most frequent urinary system complaint among pediatric patients.  Material and Methods Data compiled from 5,500 children, aged between five to 16 years, diagnosed with enuresis during the period from January 2010 to December 2015 were analyzed. The inclusion criteria were having a diagnosis of monosymptomatic nocturnal enuresis, a birth date known for certain, and complete (...) family history taken. A total of 3,547 children met the inclusion criteria and were included in the study. The study was performed by retrospective analyses.  Results Analysis of the results revealed a statistically significant difference among the rates of enuresis with respect to months and seasons (p < 0.001). In our study, we retrospectively reevaluated 3,500 patients for their birth dates and determined a statistically significant difference in the rates of nocturnal enuresis with respect

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2018 Cureus

20. Time Course of Treatment for Primary Enuresis With Overactive Bladder (PubMed)

Time Course of Treatment for Primary Enuresis With Overactive Bladder To characterize the course of treatment for nonmonosymptomatic enuresis with overactive bladder (OAB) in a real clinical setting.Data from 111 OAB patients with moderate to severe enuresis were analyzed. The baseline analysis included a questionnaire, voiding diary, uroflowmetry with postvoid residual urine measurement, and plain abdominal radiography of the kidneys, ureters, and bladder (KUB). Following standard urotherapy (...) for 1 month, anticholinergic medication was administered with or without laxatives. Desmopressin was added if there was a partial response to OAB. Patients were followed every 3 months to evaluate the status of OAB and enuresis. Multivariate analysis was performed to identify predictors associated with the lack of complete response (CR) in enuresis at 12 months.Following 12 months of treatment, 64% and 88% of patients experienced at least partial response in enuresis and OAB, respectively. Urgency

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2018 International neurourology journal

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