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Enuresis

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https://www.readbyqxmd.com/read/29456117/extraordinary-daytime-only-urinary-frequency-in-childhood-prevalence-diagnosis-and-management
#1
Pierluigi Marzuillo, Mario Diplomatico, Rosaria Marotta, Laura Perrone, Emanuele Miraglia Del Giudice, Cesare Polito, Angela La Manna, Stefano Guarino
INTRODUCTION: Since standardization of the ICCS terminology, only two small case series of children with extraordinary daytime only urinary frequency (EDOUF) have been published. The aims of the present study were i) to describe a large cohort of children affected by EDOUF, to evaluate its rate among the main micturition pediatric disturbances, and to determine if there is different EDOUF onset among seasons; ii) to investigate possible associations with urodynamic abnormalities by non-invasive techniques; iii) to evaluate whether postponing micturition exercise (PME) can objectively verify the anamnestic data hinting at the EDOUF diagnosis; and iv) to determine the effect of postponing micturition at home...
February 9, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29452905/voiding-school-as-a-treatment-for-daytime-incontinence-or-enuresis-assessing-the-effectiveness-of-intervention-by-measuring-changes-in-wetting-episodes
#2
A Saarikoski, R Koppeli, S Taskinen, A Axelin
BACKGROUND: Most urotherapy interventions are planned for children with daytime incontinence or symptoms, and are based on individual education. This study conducted a voiding school (VS) program with groups of 4-6 children with daytime incontinence or enuresis with or without daytime symptoms. OBJECTIVE: The aim of this quasi-experimental study with a one-group pretest-posttest design was to assess the effectiveness of the VS intervention for treating children's daytime incontinence or enuresis...
February 5, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29447815/pre-and-post-operative-evaluation-of-the-frequency-of-nocturnal-enuresis-and-modified-pediatric-epworth-scale-in-pediatric-obstructive-sleep-apnea-patients
#3
Kerem Sami Kaya, Bilge Türk, Zeynep Nur Erol, Pınar Akova, Berna Uslu Coşkun
OBJECTIVE: 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). METHODS: 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...
February 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29445339/population-pharmacokinetic-modeling-of-a-desmopressin-oral-lyophilisate-in-growing-piglets-as-a-model-for-the-pediatric-population
#4
Elke Gasthuys, An Vermeulen, Siska Croubels, Joske Millecam, Stijn Schauvliege, Thomas van Bergen, Pauline De Bruyne, Johan Vande Walle, Mathias Devreese
Desmopressin is used to treat primary nocturnal enuresis in children. Over the years, various formulations of desmopressin were commercialized of which the sublingual melt tablet is preferred in the pediatric population, despite the lack of full PK studies in this population. A full PK study was performed in growing conventional piglets to evaluate if this juvenile animal model can provide supplementary information to complement the information gap in the pediatric population. A desmopressin sublingual melt tablet (120 μg) was administered to 32 male piglets aged 8 days, 4 weeks, 7 weeks, and 6 months (each group n = 8)...
2018: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/29428322/study-of-the-profile-of-behavioral-problems-and-quality-of-life-indexes-in-a-pediatric-cohort-of-monosymptomatic-enuresis
#5
Guilherme Jorge Sousa E Silva, Simone Nascimento Fagundes Sammour, Alexandre Archanjo Ferraro, Vera Hermina Kalika Koch
OBJECTIVE: To evaluate and correlate, before and after the therapeutic intervention, the behavioral problem scores evaluated by the CBCL/6-18 questionnaire and the quality of life indexes evaluated by the PedsQL™ 4.0 in patients with monosymptomatic nocturnal enuresis. METHOD: After the initial evaluation and completion of the CBCL/6-18 questionnaire, a multidisciplinary evaluation and completion of the PedsQL™ 4.0 questionnaire was performed. Of the initially evaluated 140 children and adolescents aged 6-16 years, 58 were excluded due to non-monosymptomatic enuresis or associated comorbidities...
February 8, 2018: Jornal de Pediatria
https://www.readbyqxmd.com/read/29388934/-the-application-of-the-physical-factors-for-the-medical-rehabilitation-of-the-children-presenting-with-neurogenic-dysfunction-of-the-bladder
#6
I V Pogonchenkova, M A Khan, N B Korchazhkina, E V Novikova, I A Bokova, N A Lyan
This article describes the modern technologies for the medical rehabilitation of the children presenting with neurogenic dysfunction of the bladder aimed at improving the act of urination at all levels of innervation. The most frequent variant of neurogenic dysfunction of the bladder in the children is the hyper-reflexive one; it is this variant in which the most pronounced disorders of urodynamics due to intravesical hypertension and detrusor hypoxia are observed. The urodynamic disorders are known to contribute to the formation of the characteristic clinical picture associated with the hyper-reflexive urinary bladder dysfunction in the children characterized by the mandatory urination syndrome, pollakiuria, imperative urges, and mandatory urinary incontinence in the combination with enuresis...
December 28, 2017: Voprosy Kurortologii, Fizioterapii, i Lechebnoĭ Fizicheskoĭ Kultury
https://www.readbyqxmd.com/read/29376448/desmopressin-and-nocturnal-voiding-dysfunction-clinical-evidence-and-safety-profile-in-the-treatment-of-nocturia
#7
Eric Chung
Nocturia is a common urinary condition experienced by both men and women. While desmopressin has historically been utilized to treat conditions such as central diabetes insipidus and primary nocturnal enuresis, there is an increased interest in the use of desmopressin in the management of adult nocturia. Areas covered: This article provides a review on the pathophysiology of nocturia and the clinical outcomes and safety profile of desmopressin in the management of adult nocturnal voiding dysfunction. Expert opinion: To date, desmopressin is the only anti-diuretic hormone that is approved for nocturia...
January 29, 2018: Expert Opinion on Pharmacotherapy
https://www.readbyqxmd.com/read/29368878/risk-factors-for-urinary-tract-infection-in-children-with-urinary-urgency
#8
Rhaiana Gondim, Roberta Azevedo, Ana Aparecida Nascimento Martinelli Braga, Maria Luiza Veiga, Ubirajara Barroso
PURPOSE: To identify which independent variable would be strong predictor of febrile urinary tract infection (UTI) in children and adolescents with overactive bladder. MATERIALS AND METHODS: A search was made of the institute's database for all patients diagnosed with overactive bladder over the preceding four years. Children and adolescents under 18 years of age with overactive bladder and no neurological or anatomical alterations of the lower urinary tract were included in the study...
January 26, 2018: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/29362836/urinary-incontinence-in-nulliparous-women-before-and-during-pregnancy-prevalence-incidence-type-and-risk-factors
#9
Deirdre Daly, Mike Clarke, Cecily Begley
INTRODUCTION: While many women report urinary incontinence (UI) during pregnancy, associations with pre-pregnancy urinary leakage remain under-explained. METHODS: We performed a multi-strand prospective cohort study with 860 nulliparous women recruited during pregnancy. RESULTS: Prevalence of any urinary leakage was 34.8% before and 38.7% during pregnancy. Prevalence of UI, leaking urine at least once per month, was 7.2% and 17.7% respectively...
January 23, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29357099/treatment-of-selective-mutism-a-5-year-follow-up-study
#10
Beate Oerbeck, Kristin Romvig Overgaard, Murray B Stein, Are Hugo Pripp, Hanne Kristensen
Selective mutism (SM) has been defined as an anxiety disorder in the diagnostic and statistical manual of mental disorders (DSM-5). Cognitive behavioral therapy (CBT) is the recommended approach for SM, but prospective long-term outcome studies are lacking. Reports from the children themselves, and the use of more global quality of life measures, are also missing in the literature. We have developed a school-based CBT intervention previously found to increase speech in a pilot efficacy study and a randomized controlled treatment study...
January 22, 2018: European Child & Adolescent Psychiatry
https://www.readbyqxmd.com/read/29324571/physical-activity-patterns-and-sedentary-behavior-in-older-women-with-urinary-incontinence-an-accelerometer-based-study
#11
Christine M Chu, Kavita D Khanijow, Kathryn H Schmitz, Diane K Newman, Lily A Arya, Heidi S Harvie
PURPOSE: Objective physical activity data for women with urinary incontinence are lacking. We investigated the relationship between physical activity, sedentary behavior, and the severity of urinary symptoms in older community-dwelling women with urinary incontinence using accelerometers. MATERIALS AND METHODS: This is a secondary analysis of a study that measured physical activity (step count, moderate-to-vigorous physical activity time) and sedentary behavior (percentage of sedentary time, number of sedentary bouts per day) using a triaxial accelerometer in older community-dwelling adult women not actively seeking treatment of their urinary symptoms...
January 10, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29308577/the-prevalence-of-diurnal-urinary-incontinence-and-enuresis-and-quality-of-life-sample-of-school
#12
Sevim Savaser, Nezihe Kizilkaya Beji, Ergul Aslan, Duygu Gozen
PURPOSE: Enuresis can cause loss of self-esteem in children, change relations with family and friends, and decrease the school success. This study was conducted to determine the prevalence of urinary incontinence (UI) in school children aged between 11-14 years and identify the emotions and social problems of enuretic children. MATERIALS AND METHODS: A mixed methods approach was used on a group of students who reported UI by combining quantitative data from school population-based cross-sectional design with qualitative data using in-depth interview techniques...
January 8, 2018: Urology Journal
https://www.readbyqxmd.com/read/29308396/enuresis-in-early-adolescents
#13
Sevim Savaser, Nezihe Kizilkaya Beji, Ergul Aslan, Duygu Gozen
No abstract text is available yet for this article.
October 2017: Iranian Journal of Public Health
https://www.readbyqxmd.com/read/29260376/desmopressin-use-in-pediatric-nocturnal-enuresis-patients-is-there-a-sex-difference-in-prescription-patterns
#14
Marie Krarup Schroeder, K V Juul, B Mahler, J P Nørgaard, S Rittig
Desmopressin is a long-established treatment for nocturnal enuresis with clear guidelines regarding its usage. A sex difference in renal sensitivity has recently been reported in adults. The objective of this study was to investigate real-life desmopressin prescription in the Danish pediatric population, and prescription patterns which may reflect a sex difference in pediatric usage. Formulation, dose, treatment duration, and safety (hyponatremia) were investigated. 40,596 children received 214,220 desmopressin prescriptions between 2004 and 2011 in the Danish National Prescription Registry...
December 19, 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/29246468/enuresis-management-in-children-retrospective-clinical-audit-of-2861-cases-treated-with-practitioner-assisted-bell-and-pad-alarm
#15
Esther Apos, Sharynn Schuster, John Reece, Shirley Whitaker, Kerry Murphy, John Golder, Beverley Leiper, Linda Sullivan, Susie Gibb
OBJECTIVE: To establish the treatment efficacy of practitioner-assisted bell-and-pad alarm therapy in children with enuresis between the ages of 5 and 16 years by retrospective medical chart review of 2861 children in multiple clinical settings. STUDY DESIGN: This review was conducted across 7 Australian clinical practices. The primary outcome measure was the time taken for children with either primary, secondary, monosymptomatic, or nonmonosymptomatic enuresis to be dry for 14 consecutive nights...
December 12, 2017: Journal of Pediatrics
https://www.readbyqxmd.com/read/29217876/nocturnal-enuresis-in-india-are-we-diagnosing-and-managing-correctly
#16
REVIEW
N M Reddy, H Malve, R Nerli, P Venkatesh, I Agarwal, V Rege
Nocturnal enuresis is a common problem affecting school-aged children worldwide. Although it has significant impact on child's psychology, it is always under-recognized in India and considered as a condition which will outgrow with advancing age. Nocturnal enuresis classified as primary or secondary and monosymptomatic or nonmonosymptomatic. Factors that cause enuresis include genetic factors, bladder dysfunction, psychological factors, and inappropriate antidiuretic hormone secretion, leading to nocturnal polyuria...
November 2017: Indian Journal of Nephrology
https://www.readbyqxmd.com/read/29198064/claiming-desmopressin-therapeutic-equivalence-in-children-requires-pediatric-data-a-population-pkpd-analysis
#17
Robin Michelet, Lien Dossche, Charlotte Van Herzeele, Jan Van Bocxlaer, An Vermeulen, Johan Vande Walle
PURPOSE: For a new formulation of a drug, only pharmacokinetic bioequivalence with the original formulation has to be demonstrated in healthy, young adults. However, "children are not small adults," and to guarantee a safe and effective treatment, age-adapted drug development is required. Desmopressin, a vasopressin analogue prescribed for nocturnal enuresis in children, was studied as an example formulation first developed in adults and then extrapolated to a pediatric indication. METHODS: Population pharmacokinetic and pharmacodynamic modeling was used to analyze previously published desmopressin data of 18 children suffering from nocturnal enuresis...
December 3, 2017: European Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/29175540/the-effect-of-family-assistance-to-wake-children-with-monosymptomatic-enuresis-in-alarm-therapy-a-pilot-study
#18
Shoji Tsuji, Chikushi Suruda, Takahisa Kimata, Jiro Kino, Sohsaku Yamanouchi, Kazunari Kaneko
PURPOSE: Alarm therapy is widely used as first-line treatment for nocturnal enuresis (NE). However, some children do not wake when nocturnal urination activates the alarm. It is currently unclear whether waking the child when the alarm is activated improves the efficacy of alarm therapy. This study aimed to investigate the efficacy of alarm therapy for NE when children do not wake in response to the sound and their parents do not wake them. MATERIALS AND METHODS: Detailed information regarding incontinence was retrospectively obtained from 78 of 112 patients who underwent alarm therapy between 2006 and 2016 and completed a questionnaire and a 14-day bladder diary...
November 23, 2017: Journal of Urology
https://www.readbyqxmd.com/read/29174376/evidence-of-reduced-bladder-capacity-during-nighttime-in-children-with-monosymptomatic-nocturnal-enuresis
#19
B Borg, K Kamperis, L H Olsen, S Rittig
INTRODUCTION: Bladder capacity in children with nocturnal enuresis is assessed by maximal voided volumes (MVV) obtained through daytime frequency volume (FV) charts. Although a degree of association has been demonstrated, daytime MVV does not consistently correspond with the nocturnal bladder capacity (NBC) in monosymptomatic nocturnal enuresis (MNE). It was hypothesized that isolated reduced NBC is a common phenomenon in children with nocturnal enuresis, despite normal daytime bladder function...
October 27, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29169586/the-prevalence-of-urinary-incontinence-in-nulliparous-adolescent-and-middle-aged-women-and-the-associated-risk-factors-a-systematic-review
#20
REVIEW
Sania Almousa, Alda Bandin van Loon
Urinary incontinence (UI) has been defined as the complaint of involuntary loss of urine. There is a general belief that UI is experienced almost exclusively by the elderly and women who have given birth. However, epidemiological studies report that young women who are nulliparous also experience UI. The aim of this study was to systematically review studies investigating the prevalence of UI in nulliparous adolescent and middle-aged women and to provide an overview of risk factors associated with UI. The electronic databases PubMed, EMBASE, CINAHL, and Cochrane Library were systematically searched for eligible studies...
January 2018: Maturitas
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