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Is nocturia of young adulthood a remnant of childhood nocturnal enuresis?
By C.M. Yazici, R. Abali, N. Tasdemir, C. Dogan, and T. Yildiz.
International Urogynecology Journal and Pelvic Floor Dysfunction, Volume 25, Issue 2, February 2014, Pages 273-278.
This is the second of three publications in 2014 addressing the study of persistent night time voiding problems in children with nocturnal enuresis (1, 3 ). In this study, the methodology was different as the authors have interviewed young adults and inquired about the presence of nocturia and the history of nocturnal enuresis. They did not find a significant correlation between nocturia and the history of nocturnal enuresis. However, in the event of multiple night time voiding moments, there was a strong correlation with childhood nocturnal enuresis.
1: Goessaert A-S, Schoenaers B, Opdenakker O, Hoebeke P, Everaert K, Walle J Vande. Long-Term Followup of Children with Nocturnal Enuresis: Increased Frequency of Nocturia in Adulthood. J Urol [Internet]. Elsevier Ltd; 2014 Jan 11 [cited 2014 Sep 10];191(6):1866–71.
3: Akashi S, Tomita K. The impact of a history of childhood nocturnal enuresis on adult nocturia and urgency. Acta Paediatr [Internet]. 2014 May 18 [cited 2014 Aug 21];103(9):e410–5.
INTRODUCTION AND HYPOTHESIS:
Nocturia and nocturnal enuresis (NE) share similar aetiopathological factors, and may represent two different situations involving the same underlying issue. In this study, we tried to evaluate the relation between NE of childhood and nocturia of young adulthood.
A total of 577 female university students aged 17-24 years were included in the survey. A face-to-face questionnaire was administered concerning present nocturia and past NE history. A non-validated questionnaire, created by the authors, was used to evaluate the presence and the frequency of childhood NE and present nocturia. All participant data were checked by telephone contact with their parents.
The overall prevalence rates of nocturia and history of nocturnal enuresis in the study population were 8.6 % and 15 % respectively. Sixteen per cent of nocturics and 15 % of non-nocturics had a history of childhood NE (p = 0.837). The childhood NE was graded as severe or infrequent. The presence of nocturia was compared between participants with severe NE and infrequent NE, and no significant difference was observed (11.1 % vs 7.8 %, p = 0.713). Nocturia frequency was compared with the history of childhood NE and we found that as the nocturia frequency increased, the rate of childhood NE also increased.
There was no relation between young adulthood nocturia and childhood NE in our study population, but as the severity of nocturia increased, the relation between nocturia and NE became more relevant.