Advertisement

Nonmonosymptomatic Nocturnal Enuresis

  • Kwang Myung Kim
Chapter
Part of the Urodynamics, Neurourology and Pelvic Floor Dysfunctions book series (UNPFD)

Abstract

Nonmonosymptomatic nocturnal enuresis (NMNE) is defined as the presence of diurnal voiding symptoms in a patient with nocturnal enuresis. In enuresis patients aged 7 years the incidence of NMNE is about 20–30%. There is a strong possibility that NMNE patients have bowel problems such as constipation or stool incontinence and a psychiatric problem such as attention deficit hyperactivity disorder (ADHD). Treatment of NMNE must include treatment of diurnal voiding symptoms. Without treatment of diurnal voiding symptoms, nocturnal enuresis frequently does not respond to conventional treatment.

Keywords

Nonmonosymptomatic Enuresis Urgency Daytime incontinence Dysfunctional voiding Constipation Voided volume chart Anticholinergics Desmopressin Alarm 

References

  1. 1.
    Neveus T, von Gontard A, Hoebeke P, Hjalmas K, Bauer S, Bower W, et al. The standardization of terminology of lower urinary tract function in children and adolescents: report from the standardization committee of the International Children’s Continence Society. J Urol. 2006;176:314–24.CrossRefPubMedGoogle Scholar
  2. 2.
    Franco I, von Gontard A, De Gennaro M. International Childrens’s Continence Society. Evaluation and treatment of nonmonosymptomatic nocturnal enuresis: a standardization document from the International Children’s Continence Society. J Pediatr Urol. 2013;9:234–43.CrossRefPubMedGoogle Scholar
  3. 3.
    Butler R, Heron J, The Alspac Study Team. Exploring the differences between mono- and polysymptomatic nocturnal enuresis. Scand J Urol Nephrol. 2006;40:313–9.CrossRefPubMedGoogle Scholar
  4. 4.
    Joinson C, Heron J, Butler U, von Gontard A. Psychological differences between children with and without soiling problems. Pediatrics. 2006;117:1575–84.CrossRefPubMedGoogle Scholar
  5. 5.
    Neveus T, Eggert P, Evans J, International Children’s Continence Society, et al. Evaluation of and treatment for monosymptomatic enuresis: a standardization document from the International Children’s Continence Society. J Urol. 2010;183:441–7.CrossRefPubMedGoogle Scholar
  6. 6.
    Bower WF, Moore KH, Adams RD. A noble clinical evaluation of childhood incontinence and urinary urgency. J Urol. 2001;166:2411–5.CrossRefPubMedGoogle Scholar
  7. 7.
    Rasquin A, Di LC, Forbes D, Guiraldes E, Hyams JS, Staiano A, et al. Childhood functional gastrointestinal disorders: child/adolescent. Gastroenterology. 2006;130:1527–37.CrossRefPubMedGoogle Scholar
  8. 8.
    Lewis SJ, Heaton KW. Stool form scale as a useful guide to intestinal transit time. Scand J Gastroenterol. 1997;32:920–4.CrossRefPubMedGoogle Scholar
  9. 9.
    Roth EB, Austin PF. Evaluation and treatment of nonmonosymptomatic enuresis. Pediatr Rev. 2014;35:430–6.CrossRefPubMedGoogle Scholar
  10. 10.
    Lovering JS, Tallett SE, McKendry JB. Oxybutynin efficacy in the treatment of primary enuresis. Pediatrics. 1988;82:104–6.PubMedGoogle Scholar
  11. 11.
    Glazener CM, Evans JH, Peto RE. Drugs for nocturnal enuresis in children (other than desmopressin and tricyclics). Cochrane Database Syst Rev. 2003;4:CD002238.Google Scholar
  12. 12.
    Kajbafzadeh AM, Lida Sharifi-Rad L, Mozafarpour S, Ladi-Seyedian S. Efficacy of transcutaneous interferential electrical stimulation in treatment of children with primary nocturnal enuresis: a randomized clinical trial. Pediatr Nephrol. 2015;30:1139–45.CrossRefPubMedGoogle Scholar
  13. 13.
    Hagstroem S, Mahler B, Madsen B, Djurhuus JC, Rittig S. Transcutaneous electrical nerve stimulation for refractory daytime urinary urge Incontinence. J Urol. 2009;182:2072–8.CrossRefPubMedGoogle Scholar
  14. 14.
    Lordêlo P, Teles A, Veiga ML, et al. Transcutaneous electrical nerve stimulation in children with overactive bladders: a randomized clinical trial. J Urol. 2010;184:683–9. Incontinence. J Urol. 2009CrossRefPubMedGoogle Scholar
  15. 15.
    Veiga ML, Lordêlo P, Farias T, Barroso U Jr. Evaluation of constipation after parasacral transcutaneous electrical nerve stimulation in children with lower urinary tract dysfunction—a pilot study. J Pediatr Urol. 2013;9:622–6.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Pediatric UrologySeoul National University Children’s HospitalSeoulRepublic of Korea

Personalised recommendations