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S24-2
(PP)
NOCTURNAL ENURESIS BY AGE GROUP - CHARACTERISTICS AND RESPONSE TO
TREATMENT
Abed Elhalim DARAWSHA
1
, Asaf FISHELEVITZ
1
, Avishalom POMERANTZ
2
, Ilan LEIBOVITCH
1
and Amos NEHEMAN
1
1) Meir Medical Center KFAR - SABA, Paediatric urology, Kfar-Saba, ISRAEL - 2) Meir Medical Center KFAR - SABA,
Pediatric nephrology unit, Kfar-Saba, ISRAEL
PURPOSE
Prior publications conclude that older children and adolescents with EN have a higher rate of additional urinary
complaints mainly storage symptoms and a higher percent of concomitant conditions: constipation, soiling and ADHD. It
is widely believed that treating the older child with ED is more complex and challenging.
In this study we compared the characteristics of EN and response to treatment in different age groups
MATERIAL AND METHODS
All children presented to our clinic with primary or secondary, monosymptomatic or polysymptomatic EN were
included. Each answered a detailed questioner to assess bedwetting. A voiding diary was filled for three days. Children
categorized by age group: young (5-10 years), young-adolescents (10-13 years) and adolescents (> 13 years)
RESULTS
260 children met the inclusion criteria and were included in this study
Significant EN (more that 3 wet nights) was observed in over 90% of all cases.
There was no statistical significance between the groups regarding ADHD, deep sleepers, constipation/soiling or family
history of EN,.
Nocturnal polyuria (defined if nocturnal urinary volume > average functional bladder capacity) was seen in 65%, 68%,
85% in the young, young-adolescent and adolescent, respectively (P=0.058)
Overall 60% of children responded to Desmopresine as monotherapy. There was 50% response in the young, 56% in
young-adolescent and 83% in the adolescent group (P=0.053).
CONCLUSIONS
It appears from our data that children in all age groups have similar severity and concomitant co-morbidities.
Older children with EN predominantly have nocturnal polyuria. A high response rate to Desmopresine as monotherapy is
seen in the older children even exciding that of younger children