No abstract available.
Nocturnal Enuresis*

No abstract available.
Nocturnal Enuresis*

Nocturnal enuresis has been recognized as an adverse effect of clozapine treatment. We reported 3 chronic schizophrenic patients who had showed nocturnal enuresis following clozapine treatment. Oxybutynin hydrochloride on clozapine-induced enuresis was very effective in 3 patients. The dose in our patients was 5 to 10mg/day. This medication was well tolerated. It is suggested that oxybutynin hydrochloride is a effective therapeutic option in clozapine-induced nocturnal enuresis.
Clozapine* ; Enuresis ; Humans ; Nocturnal Enuresis* ; Schizophrenia

PURPOSE: To investigate the correlation between functional bladder capacity, first morning urine osmolality, daytime voiding symptoms, and severity of nocturnal enuresis. MATERIALS AND METHODS: We assessed a total of 101 children with nocturnal enuresis (mean age, 7.7+/-2.3 years). Patients were divided into three groups according to the severity of enuresis: (1) one to six episodes per week (46 cases, 45.5%), (2) one episode every day (29 cases, 28.7%), and (3) multiple episodes every day (26 cases, 25.8%). Baseline parameters were obtained from frequency volume charts for 2 days, first morning urine osmolality, and a questionnaire for the presence of frequency, urgency, and daytime incontinence. RESULTS: The severity of enuresis increased with younger age (p=0.037) and reduced functional bladder capacity (p=0.007) and daytime symptoms of frequency and daytime incontinence (p=0.012, p=0.036). No statistical difference in urine osmolality or urgency was found among the three groups. Both reduced functional bladder capacity and low urine osmolality increased according to the severity of enuresis (p=0.012). CONCLUSIONS: In children with nocturnal enuresis, severity was increased by younger age, reduced functional bladder capacity, and the presence of daytime voiding symptoms of frequency and daytime incontinence. The incidence of small functional bladder capacity was increased in children with everyday wetting, and the incidences of both small functional bladder capacity and low urine osmolality were increased in children with everyday multiple wetting.
Child ; Enuresis ; Humans ; Incidence ; Nocturnal Enuresis ; Osmolar Concentration ; Urinary Bladder

The treatment of choice for primary nocturnal enuresis (PNE) in Korea remains imipramine which has proven to be effective in approximately 50 to 80%, but it is an antidepressant with toxic side effects and risk of overdose. Recently desmopressin (DDAVP, 1-desamino-8-Darginine-vasopressin) has been introduced for the treatment and its effect has been promising in many reports. To find the efficacy and safety of intranasal desmopressin, we evaluated the results of therapy in 48 enuretic children (34 boys and 14 girls). Mean age was 9.8 years (range 5-16). All the children were evaluated at least 3 months after the treatment with intranasal desmopressin. The overall response rate was 83.3%. The number of wet night per week before and after intranasal desmopressin treatment was 6.42 and 1.83 nights per week respectively. No side effects were observed. These data shows that the intranasal desmopressin therapy is effective and safe for the treatment of PNE.
Child ; Deamino Arginine Vasopressin* ; Enuresis ; Humans ; Imipramine ; Korea ; Nocturnal Enuresis*

PURPOSE: The aim of this study, to investigate whether there is any association between enuresis in childhood and nocturnal polyuria syndrome (NPS) in adult life. METHODS: The study consisted of thirty five patients with nocturnal polyuria, and thirty five healthy people without nocturnal polyuria in adult life, were asked to assess their enuresis in childhood. RESULTS: There was a history of enuresis in childhood in 18 (51.42%) of 35 of men with nocturnal polyuria and in 4 (11.42%) of 35 without nocturnal polyuria. Enuresis in childhood was significantly more common in men with nocturnal polyuria than without nocturnal polyuria. The difference was significant (P<0.0001). The prevalence of enuresis in the nocturnal polyuria (51.42%) was more than two-fold higher than reported prevalence in general populations. CONCLUSIONS: The results of this study suggest that the history of enuresis in childhood seems to increase the risk of having NPS in adult life. This relationship should be taken into account in the evaluation of men with complaints from NPS in adult life and the possible common pathophysiology should be considered in the treatment planning.
Adult ; Child ; Enuresis ; Humans ; Male ; Nocturnal Enuresis ; Polyuria ; Prevalence

BACKGROUND: We examined the usefulness of urine osmolality, as a predictive factor in the treatment of monosymptomatic nocturnal enuresis (NE) with combination therapy of imipramine and desmopressin. METHODS: From May 2014 to April 2015, 59 monosymptomatic NE patients participated in this study. Early morning urine osmolality was measured at 1 week and 1 day before combination therapy of imipramine and desmopressin, and at 1 week and 2 weeks after therapy. The response to combination therapy was evaluated at 3 months after treatment. The mean period of combination therapy was 6.4+/-4.2 weeks. Therapeutic response was classified as complete (0-1 wet night/week), partial (over 50% reduction of night) and non-responders (less than 50% reduction of night). RESULTS: The cumulative rate of the complete and partial responders was 76.3%. Among the 3 groups, the statistically lowest value of pre-treatment urine osmolality was observed in the complete responder group (p<0.001). Urine osmolality increased in all groups after treatment, however, statistically the greatest difference between pre and post-treatment urine osmolality was observed in the complete responder group (p=0.024). No serious side effects were observed. CONCLUSION: Early morning urine osmolality and change of urine osmolality between pre and post-treatment have predictive values in the response to combined imipramine and desmopressin for treatment of monosymptomatic NE.
Deamino Arginine Vasopressin* ; Enuresis ; Humans ; Imipramine* ; Nocturnal Enuresis* ; Osmolar Concentration*

Humans ; Magnetic Resonance Imaging ; Nocturnal Enuresis/diagnostic imaging*

PURPOSE: The authors developed a Two Spots Enuretic Voiding Diary (TSEVD) that consisted of the first voiding amount (V1) after awakening and the single voiding amount (V2) for the patient's need to void before sleep. We evaluated the efficacy and usefulness of the TSEVD for the treatment of enuretic children. MATERIALS AND METHODS: From Apr. 2002 to Feb. 2004, 71 patients with monosymptomatic nocturnal enuresis and 55 patients with polysymptomatic nocturnal enuresis were enrolled in this study. The treatment modality and termination were assigned by the V1, V2 and V3 (age- matched normal bladder capacity) on the TSEVD. RESULTS: The percent of patients whose V3 exceeded their V2 and their ratios of V1/V2 and V2/V3 were decreased after treatment in both the monsymptomatic and polysymptomatic group. For the monosymptomatic patients, the submission rate, the good response rate and the cure rate were 73.7%, 19.7% and 65.6%, respectively, whereas the submission rate, the good response rate and cure rate for the polysymptomatic patients were 84.4%, 22.9% and 41.7%, respectively. The recurrence rates in both groups were 14.8% and 35.4%, respectively. Both the patients and parents showed good understanding of the TSEVD, the principles of treatment and their role in the treatment. The Student's t-test (paired) was used for the statistical analysis. CONCLUSIONS: These data suggests that the TSEVD was useful to evaluate the progress of treatment and the treatment goals for each patient suffering with nocturnal enuresis. The treatment end point, based on the TSEVD, was effective in reducing recurrence by determining the treatment effect.
Child ; Enuresis ; Humans ; Nocturnal Enuresis* ; Parents ; Recurrence ; Treatment Outcome ; Urinary Bladder ; Urination

PURPOSE: Lower self-esteem, if present in enuretic children, might be an indicator of present and possible later psychological dysfunction. We tried to study the change of self-esteem before and after the treatment in children with nocturnal enuresis. MATERIALS AND METHODS: We recruited 32 enuretic children between september, 1998 and april, 2000. Mean age was 7.3 years old (range 4-12). We investigated the effect of self-esteem after 3 months treatment by Harter's self conception profile for children (SPPC) by total score and 6 subscales scores (scholastic competence, social acceptance, athletic competence, physical appearance, behavioral conduct and global self-worth). The patients were divided in two groups: the response group defined as greater than 50% reduction of wet night and the non response group defined as less than 50% reduction of wet night. A paired t-test was used for the improvement of Harter's SPPC at total score and subscales after treatment and student t-test was used for the comparison of the improvement of SPPC between groups. RESULTS: After treatment, the overall Harter's SPPC did not show statistically significant improvement. Among the 32 enuretic children, 22 children (69%) were in response group and 10 children (31%) were in non-response group. We could not find any statistically significant self-esteem change in Harter's SPPC in responders and also even in non-responders. CONCLUSIONS: Our data suggested that Harter's SPPC did not show significant improvement after treatment of enuresis.
Child* ; Deamino Arginine Vasopressin ; Enuresis* ; Humans ; Mental Competency ; Nocturnal Enuresis ; Self Concept ; Social Distance ; Sports