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Monosymptomatic and non-monosymptomatic nocturnal enuresis: a clinical evaluation.
Arch Iran Med. 2012 Nov; 15(11):702-6.AI

Abstract

BACKGROUND

Nocturnal enuresis is divided into monosymptomatic nocturnal enuresis (MNE) and non-monosymptomatic nocturnal enuresis (NMNE). This study reviews clinical and ultrasonography (US) findings in enuretic children, and compares the organic and functional pathologies of the lower urinary tract (LUT) in children with MNE to those who have NMNE.

METHODS

We enrolled 111 neurologically normal children with chief complaints of enuresis in this study. Participants included 60 boys and 51 girls, aged 5 - 17 years. There were 43 (38.8%) patients diagnosed with MNE and 68(61.2)% with NMNE. Urine analysis, urine culture and kidney-bladder US were performed for patients. Some patients underwent a voiding cystoureterography (VCUG), urodynamic study (UDS), or both.

RESULTS

Patients were divided into three groups: i) MNE, ii) NMNE without daytime incontinence (NMNE - daytime incontinence), and iii) NMNE plus daytime incontinence (NMNE + daytime incontinence). Constipation (P = 0.011), encopresis (P = 0.003) and urge incontinence (P = 0.001) were significantly more frequent in patients with NMNE +daytime incontinence. Bladder wall thickness (BWT) was the most common US finding. One patient with MNE and 9 with NMNE+ daytime incontinence had vesicoureteral reflux (VUR; P = 0.016). Posterior urethral valve (PUV) was reported in one patient with NMNE. Evidence of bladder dysfunction was noted in about half of the patients who underwent UDS, with a higher prevalence in cases that had NMNE +daytime incontinence (P = 0.297). Bowel symptoms and VUR were significantly more prevalent in cases with NMNE + daytime incontinence.

CONCLUSION

We recommend VCUG in enuretic children who have daytime incontinence. In addition our study has revealed that symptoms suggestive of an overactive bladder (OAB) are not good indicators for bladder dysfunction.

Authors+Show Affiliations

Pediatric Nephrology Department, Dr. Sheikh Children's Hospital, Mashhad University of Medical Sciences, Mashhad, Iran. Naserim@mums.ac.irNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23102248

Citation

Naseri, Mitra, and Mehran Hiradfar. "Monosymptomatic and Non-monosymptomatic Nocturnal Enuresis: a Clinical Evaluation." Archives of Iranian Medicine, vol. 15, no. 11, 2012, pp. 702-6.
Naseri M, Hiradfar M. Monosymptomatic and non-monosymptomatic nocturnal enuresis: a clinical evaluation. Arch Iran Med. 2012;15(11):702-6.
Naseri, M., & Hiradfar, M. (2012). Monosymptomatic and non-monosymptomatic nocturnal enuresis: a clinical evaluation. Archives of Iranian Medicine, 15(11), 702-6. https://doi.org/0121511/AIM.0011
Naseri M, Hiradfar M. Monosymptomatic and Non-monosymptomatic Nocturnal Enuresis: a Clinical Evaluation. Arch Iran Med. 2012;15(11):702-6. PubMed PMID: 23102248.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Monosymptomatic and non-monosymptomatic nocturnal enuresis: a clinical evaluation. AU - Naseri,Mitra, AU - Hiradfar,Mehran, PY - 2012/10/30/entrez PY - 2012/10/30/pubmed PY - 2013/2/7/medline SP - 702 EP - 6 JF - Archives of Iranian medicine JO - Arch Iran Med VL - 15 IS - 11 N2 - BACKGROUND: Nocturnal enuresis is divided into monosymptomatic nocturnal enuresis (MNE) and non-monosymptomatic nocturnal enuresis (NMNE). This study reviews clinical and ultrasonography (US) findings in enuretic children, and compares the organic and functional pathologies of the lower urinary tract (LUT) in children with MNE to those who have NMNE. METHODS: We enrolled 111 neurologically normal children with chief complaints of enuresis in this study. Participants included 60 boys and 51 girls, aged 5 - 17 years. There were 43 (38.8%) patients diagnosed with MNE and 68(61.2)% with NMNE. Urine analysis, urine culture and kidney-bladder US were performed for patients. Some patients underwent a voiding cystoureterography (VCUG), urodynamic study (UDS), or both. RESULTS: Patients were divided into three groups: i) MNE, ii) NMNE without daytime incontinence (NMNE - daytime incontinence), and iii) NMNE plus daytime incontinence (NMNE + daytime incontinence). Constipation (P = 0.011), encopresis (P = 0.003) and urge incontinence (P = 0.001) were significantly more frequent in patients with NMNE +daytime incontinence. Bladder wall thickness (BWT) was the most common US finding. One patient with MNE and 9 with NMNE+ daytime incontinence had vesicoureteral reflux (VUR; P = 0.016). Posterior urethral valve (PUV) was reported in one patient with NMNE. Evidence of bladder dysfunction was noted in about half of the patients who underwent UDS, with a higher prevalence in cases that had NMNE +daytime incontinence (P = 0.297). Bowel symptoms and VUR were significantly more prevalent in cases with NMNE + daytime incontinence. CONCLUSION: We recommend VCUG in enuretic children who have daytime incontinence. In addition our study has revealed that symptoms suggestive of an overactive bladder (OAB) are not good indicators for bladder dysfunction. SN - 1735-3947 UR - https://www.unboundmedicine.com/medline/citation/23102248/Monosymptomatic_and_non_monosymptomatic_nocturnal_enuresis:_a_clinical_evaluation_ L2 - http://www.ams.ac.ir/AIM/NEWPUB/12/15/11/0011.pdf DB - PRIME DP - Unbound Medicine ER -