Comprehensive Review of Nocturnal Enuresis in Children

IF 0.3 Q4 PEDIATRICS
Mehrdad Sarabi, Niloufar Nikpasand, Elnaz Mahmoudabadi, Ashkan Torshizian, A. Ghodsi, A. Azarfar
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引用次数: 0

Abstract

Background: Enuresis is a common problem that affects up to 15% of 5‐year‐old children and may have significant psychological, emotional, and social consequences for both the child and their family. Enuresis is the inability of toilet‐trained children to hold urine during the night. It can be classified as primary and secondary. Secondary enuresis occurs in children who have had a dry duration of more than six months; otherwise, it is called primary enuresis. Objectives: This narrative review aims to summarize the available data on the epidemiology, etiology, pathophysiology, evaluation, and treatment of children with enuresis. Methods: This study was conducted through a literature search with the keywords based on Medical Subject Headings (MESH) and were combined with other keywords, including enuresis, pediatric, incontinence, and treatment using PubMed, Embase, Web of Sciences, Scopus, and Cochrane databases. Results: The initial evaluation of enuresis needs a detailed medical history and a careful physical examination with no need for radiology and invasive procedures. The treatment’s mainstay is non‐pharmacological treatments, such as behavioral intervention followed by pharmacotherapy. The appropriate treatment chosen depends on the children's age, midnight voiding patterns, and family and child preferences. Conclusions: Enuresis is a common disorder that affects both the child and the family in many ways. Enuresis's etiology is complex, and it is still not well understood. The child and family must be included in the treatment process, and potential pathophysiological causes must be taken into account.
儿童夜间遗尿症的综合综述
背景:遗尿是一种常见的问题,影响多达15%的5岁儿童,并可能对儿童及其家庭产生重大的心理、情感和社会后果。遗尿症是指儿童在夜间无法如厕而憋尿。它可以分为初级和次级。继发性遗尿发生在干燥持续时间超过6个月的儿童中;否则称为原发性遗尿。目的:本文综述了儿童遗尿症的流行病学、病因学、病理生理学、评估和治疗方面的现有资料。方法:利用PubMed、Embase、Web of Sciences、Scopus、Cochrane等数据库,以医学主题词(MESH)为关键词,结合遗尿、儿科、尿失禁、治疗等关键词进行文献检索。结果:遗尿症的初步评估需要详细的病史和仔细的体格检查,不需要放射学和侵入性手术。治疗的主体是非药物治疗,如行为干预后的药物治疗。选择合适的治疗取决于孩子的年龄,午夜排尿模式,以及家庭和孩子的喜好。结论:遗尿症是一种常见的疾病,在许多方面影响儿童和家庭。遗尿症的病因是复杂的,它仍然没有很好地了解。儿童和家庭必须包括在治疗过程中,并且必须考虑到潜在的病理生理原因。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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20
审稿时长
8 weeks
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