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MONOSYMPTOMATIC NOCTURNAL ENURESIS IS ASSOCIATED WITH ABNORMAL NOCTURNAL BLADDER EMPTYING

2004; Lippincott Williams & Wilkins; Volume: 171; Issue: 6 Part 2 Linguagem: Inglês

10.1097/01.ju.0000110882.31824.89

1527-3792

Søren Hagstroem, Konstantinos Kamperis, Søren Rittig, Nico Rijkhoff, Jens Christian Djurhuus,

Connexins and lens biology

No AccessJournal of UrologyNocturnal Enuresis: Pathophysiology1 Jun 2004MONOSYMPTOMATIC NOCTURNAL ENURESIS IS ASSOCIATED WITH ABNORMAL NOCTURNAL BLADDER EMPTYING S. HAGSTROEM, K. KAMPERIS, S. RITTIG, N.J.M. RIJKHOFF, and J.C. DJURHUUS S. HAGSTROEMS. HAGSTROEM More articles by this author , K. KAMPERISK. KAMPERIS More articles by this author , S. RITTIGS. RITTIG More articles by this author , N.J.M. RIJKHOFFN.J.M. RIJKHOFF More articles by this author , and J.C. DJURHUUSJ.C. DJURHUUS More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000110882.31824.89AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We investigate the nature of enuresis episodes in monosymptomatic nocturnal enuresis using a fluid provocation model. Materials and Methods: The study included 18 children 7 to 13 years old with monosymptomatic nocturnal enuresis. Based on basal home recordings patients were subgrouped into those with a normal nocturnal urine output and those with nocturnal polyuria (mean nocturnal urine production on wet nights exceeding 130% of functional bladder capacity, normal functional bladder capacity for age provided). Children were admitted to the hospital for 4 consecutive nights. After an adaptation night all children received orally 25 ml/kg water, 30 minutes before bedtime on the remaining 3 nights. A cordless alarm device enabled registration of enuretic episodes from another room and diapers allowed the measurement of enuresis volumes. Post-void residual volumes were measured by ultrasound. Pelvic floor electromyography was continuously recorded throughout the night, and its association to bladder emptying was investigated. Results: A total of 95 enuresis and 14 nocturia episodes were recorded. Significantly more enuresis episodes were registered on nights with oral fluid load, whereas no increase in number of nocturia episodes was seen. Of the enuresis episodes 46 were associated with incomplete bladder emptying (post-void residual volume greater than 10% of total bladder volume at time of enuresis). No difference between patient groups regarding post-void residual volume was seen. Abnormal bursts of electromyography activity were associated with incomplete micturitions. Conclusions: Enuresis nocturna episodes in polyuric and nonpolyuric patients are frequently incomplete micturitions. The present findings question the definition of nocturnal enuresis episode as normal complete voiding. References 1 : Factors related to the age of attainment of nocturnal bladder control: an 8-year longitudinal study. Pediatrics1986; 78: 884. Google Scholar 2 : Enuresis and spontaneous cure rate. Study of 1129 enuretis. Arch Dis Child1974; 49: 259. 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Link, Google Scholar From the Institute of Experimental Clinical Research, University of Aarhus (SH, KK, JCD) and Department of Pediatrics, Skejby University Hospital (SR), Aarhus, and Center for Sensory-Motor Interaction, Aalborg University (NJMR), Aalborg, Denmark© 2004 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byKaraman M, Koca O, Küçük E, Öztürk M, Güneş M and Kaya C (2018) Laser Acupuncture Therapy for Primary Monosymptomatic Nocturnal EnuresisJournal of Urology, VOL. 185, NO. 5, (1852-1856), Online publication date: 1-May-2011.Hagstroem S, Kamperis K, Rittig S and Djurhuus J (2018) Bladder Reservoir Function in Children With Monosymptomatic Nocturnal Enuresis and Healthy ControlsJournal of Urology, VOL. 176, NO. 2, (759-763), Online publication date: 1-Aug-2006. Volume 171Issue 6 Part 2June 2004Page: 2562-2566 Advertisement Copyright & Permissions© 2004 by American Urological Association, Inc.Keywordsenuresispelvic floor electromyographypolyuriaMetricsAuthor Information S. HAGSTROEM More articles by this author K. KAMPERIS More articles by this author S. RITTIG More articles by this author N.J.M. RIJKHOFF More articles by this author J.C. DJURHUUS More articles by this author Expand All Advertisement PDF downloadLoading ...