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. 2006 May;175(5):1885-8; discussion 1888.
doi: 10.1016/S0022-5347(05)00935-3.

Resolution of diurnal incontinence and nocturnal enuresis after adenotonsillectomy in children

Farzeen Firoozi  1 , Rami Batniji, Ahmet R Aslan, Penelope A Longhurst, Barry A Kogan
Affiliations

Resolution of diurnal incontinence and nocturnal enuresis after adenotonsillectomy in children

Farzeen Firoozi et al. J Urol. 2006 May.

Abstract

Purpose: Adenotonsillar hyperplasia causes upper airway obstruction, leading to obstructive sleep apnea. We reviewed the incidence of nocturnal enuresis in a population of children with adenotonsillar hyperplasia. In addition, we investigated the rate of resolution or improvement in enuresis following surgery for relief of adenotonsillar hyperplasia.

Materials and methods: We studied 86 consecutive prepubertal children, 46 boys and 40 girls, who underwent adenotonsillectomy. Severity of adenotonsillar obstruction was graded on a scale of 1 to 4. A questionnaire regarding voiding problems, including nocturnal enuresis, voids per day and daytime enuresis episodes, was filled out preoperatively and postoperatively by the patients and their parents.

Results: Among the 86 patients who underwent adenotonsillectomy 36 (42%) had nocturnal enuresis. In patients with nocturnal enuresis the number of episodes was significantly less after adenotonsillectomy. Overall, 12 patients (33%) had complete resolution, 11 (31%) had significant improvement and 13 (36%) showed no change. In addition, we noted a significant decrease in daytime enuresis episodes and voids per day.

Conclusions: Children with upper airway obstruction have a high rate of nocturnal enuresis that improves at twice the anticipated rate after treatment of the airway obstruction. In addition, we observed that daytime voiding dysfunction improves in these patients.

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