Authors: Codruţa ILIESCU, Liliana-Gabriela HALIŢCHI, Cristina GAVRILOVICI, Magdalena STÂRCEA, Ingrid MIRON


Introduction. Nocturnal enuresis (NE) is a common disorder among children, defined as the involuntary loss of urine during sleep in the child ³ 5 year-old. Retrospective analysis of the therapeutic results obtained in NE on a group of 50 childrens aged 5-18 years, who addressed in nephrological consultation in the Pediatric Center of the ”Arcadia” Hospital between March 2017-March 2019, was performed. Materials and methods. Analyzed parameters: epidemiological data (age and sex of the child), type of NE (after the time of onset, association of daytime symptoms and severity), factors favoring daytime incontinence and NE, urinary density estimated using the urinary dip stick, mictional charts completed for at least 48 hours by parents, for assessing the functional bladder capacity (CVF), and the chart of wet nights completed by the child for assessing the therapeutic response. Results and discussion. It was observed that 68% of the enuretic patients were between 5 and 8 year-old, with a slight predominance of the male sex, as well as the predominance of primary and monosymptomatic EN. Also noticed was that 68% of the patients had isostenuria. Study of the mictional charts divided the study group into the sublot of those with normal CVF for age (20 cases) and low CVF for age (18 cases). We noticed that 80% of the patients with normal CVF, appeared after 7 years of age, responded to the night alarm within 1-2 months of treatment, while 77% of the patients with low CVF, appeared after 7 years, responded to a Desmopressin + Anticolinergic combined treatment within 1-3 months. Conclusions 1. Favorable factors associated with NMNE were OGE inflammation and incorrect hygiene of OGE in girls. 2. Favorable factors associated with EN were deep sleep, genetic component, psychological disorders (mother’s anxiety). 3. We draw attention upon the late-onset secondary enuresis, in patients with hypertension, hyposthenia, high TA values, with a history of recurrent UTIs, whether or not associated with renal malformations, which may be an associated manifestation of CRI. 4. 80% of the patients with EN with normal CVF, appeared after 7 years of age, responded to the night alarm within 1-2 months of treatment, whereas 77% of the patients with EN with low CVF, appeared after 7 years of age, answered to the combined Desmopressin + Anticolinergic treatment within 1-3 months.

  • enuresis
  • mictional charts
  • treatment
  • urinary tract disfunction