Grzegorz Paruszkiewicz

Instytut Matki i Dziecka

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Małgorzata Słowik

Instytut Matki i Dziecka

B Gołabek

Instytut Matki i Dziecka

K Nowakowska

Lodz University of Technology

Magda Rakowska

Wojskowy Instytut Medycyny Lotniczej

Katarzyna Jobs

Wojskowy Instytut Medycyny Lotniczej

Tomasz Wolañczyk

Medical University of Warsaw

I Banasikowska

A Wińniewski

Medical University of Warsaw

H Drejewicz

Instytut Matki i Dziecka

P Złotkowski

Medical University of Warsaw

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Instytut Matki i Dziecka

Wojskowy Instytut Medycyny Lotniczej

National Academy of Medicine

Wojskowy Instytut Medyczny

Centralny Szpital Kliniczny

Medical University of Warsaw

Polish Mother’s Memorial Hospital Research Institute

Central Clinical Hospital

Lodz University of Technology

University of Agriculture in Krakow

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Attitudes of enuretic children towards their illness

Acta Paediatrica (2002)

Tomasz Wolañczyk I Banasikowska P Złotkowski A Wińniewski Grzegorz Paruszkiewicz

The aim of this study was to establish the attitudes of enuretic children towards their illness and to assess the correlation between children's attitudes and biological and medical variables describing the clinical picture and course of enuresis. Fifty children were included (31M, 19F), aged 8–18 y (mean 12.74 y), all with the diagnosis of enuresis. The reference groups consisted of 60 children with asthma and 40 children with chronic heart disease, aged 8—12 y. The Polish version of the Child Attitude Toward Illness Scale (CATIS) was administered to all the children and structured interviews concerning demographic and medical data were conducted with the parents. There were no significant differences in median CATIS scores between the subgroups divided according to age, type of enuresis and family history of enuresis. There was no significant correlation between the CATIS score and frequency of enuresis and number of therapeutic failures. The girls had significantly lower median CATIS scores than the boys ( p = 0.03). The difference in median CATIS scores between genders was significant only for the older group aged 14–18 y. The older girls had the lowest CATIS scores. Enuretic children were found to have statistically significantly more negative attitudes towards their illness than children with asthma ( p = 0.006) and children with chronic heart disease ( p = 0.067). Conclusion : Enuretic children had more negative feelings about their illness than children with other chronic conditions. This negative attitude was not related to demographic or clinical data except for gender. The adolescent girls demonstrated the most negative attitude towards enuresis.

10.1111/j.1651-2227.2002.tb03338.x

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Citations (11)

[Nocturnal enuresis in children. II--Diagnosis and treatment of nocturnal enuresis].

PubMed (2000)

Grzegorz Paruszkiewicz

The classification of the various types of urination disorders among children as well as the latest theories explaining the causes of nocturnal enuresis were presented in the first part of the article entitled "Nocturnal Enuresis in Children" (in "Medycyna Wieku Rozwojowego" 1998, II, 1 pp. 55-69). The second part of this article concentrates on the differential diagnostics of urination disorders amongst patients seeking help for nocturnal enuresis. The diagnostic model developed by the Urodynamic Unit at the Department of Paediatric Surgery, National Research Institute of Mother and Child can be applied in an outpatient clinic. Hospitalization of the patient is not necessary to carry out the study, meaning that the child is spared any additional stress. Currently applied methods for treating nocturnal enuresis by non-pharmacological methods are also discussed in this text.

Urination

Outpatient clinic

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[Nocturnal enuresis in children--how to diagnose, how to treat?].

PubMed (2013)

Grzegorz Paruszkiewicz

The aim of this article is to review International Children's Continence Society guidelines on the recommended diagnostic evaluation and therapy for children with nocturnal enuresis. Nocturnal enuresis (NE) is the condition describing the symptom of wetting during sleep above the age of 5 years. NE is one of the most common disorders among children. Enuresis is characterised as monosymptomatic nocturnal enuresis (MNE) if there are no additional voiding problems. Children with other daytime symptoms (daytime incontinence, urgency, frequency) and nocturnal enuresis are said to have non-monosymptomatic nocturnal enuresis (NMNE). A careful medical history, including bladder diary, physical examination, urinalysis, an ultrasound of the urinary tract system will usually provide sufficient information for the physician to arrive at a diagnosis. Urodynamic, radiologic and endoscopic evaluation are not necessary in children with monosymptomatic nocturnal enuresis. Two first line treatment options of MNE are currently recommended: nonpharmacologic treatment and pharmacologic treatment (desmopressin). Nonpharmacologic treatment of enuresis includes motivational therapy, bladder-training exercises, fluid and food intake and enuresis alarm. Before using alarm treatment or desmopressin, simple therapeutic interventions should be considered. Children with nocturnal poliuria and normal bladder capacity will be more sensitive to desmopressin.

Desmopressin

Nocturia

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Interpretation of uroflowmetry in the paediatric population

Pediatria i Medycyna Rodzinna (2017)

Magda Rakowska Katarzyna Jobs Grzegorz Paruszkiewicz Anna Jung

10.15557/pimr.2017.0004

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[Clinical evaluation of Uro-Vaxom in treatment of recurrent urinary tract infections in girls].

PubMed (1995)

B Gołabek K Nowakowska Małgorzata Słowik Grzegorz Paruszkiewicz

Uro-Vaxom was used in the treatment of recurrent urinary tract infections in 28 girls. Most of them (27/28) tolerated the drug very well, no side effects were observed. We stopped administration of the Uro-Vaxom in one girl during the first month of treatment because of vomiting. Uro-Vaxom efficiency was, therefore, evaluated in 27 girls. Uro-Vaxom was found to be a valuable drug, supplementing antibiotic therapy in recurrent urinary tract infections caused by E. coli.

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[Defects of the low urinary tract as a cause of recurrent urinary tract infection in girls].

PubMed (2002)

B Gołabek Małgorzata Słowik B Płoska-Urbanek Grzegorz Paruszkiewicz H Drejewicz

462 girls aged 1 month--15 years with recurrent urinary tract infection were diagnosed in the Outpatient Clinic of Mother and Child Institute during 1985-1992 and 1999-2000 years period. The most common cause of recurrent urinary tract infection was an isolated construction of external urethral ostium--59.9% (187/312) then vesico-ureteral reflux coexisting with external urethral ostium--41.1% (125/312), next isolate vesico-ureteral reflux--22.5% (104/462). Typical radiological diagnostic was performed in all cases and calibration of urethrae was 416 girls. From 75% (312/416) cases with urethral construction only 54.7% (253/462) had typical cystographic picture of that defect. Results of our studies confirmed the importance of exact diagnosis of "lower part of urinary tract" and necessity of appropriate treatment.

Outpatient clinic

Ostium

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[Usefulness of Uro-Vaxom in complex treatment of recurrent urinary tract infections in girls].

PubMed (2002)

B Gołabek K Nowakowska Małgorzata Słowik Grzegorz Paruszkiewicz

Uro-Vaxom was used in the treatment of recurrent urinary tract infections in 35 girls. Most of them (34/35) tolerated the drug very well, no side effect were observed. We stopped administration of the Uro-Vaxom in one girl, during the first month of treatment because of vomiting. This way efficiency of Uro-Vaxom was evaluated in the treatment of recurrent urinary tract infections in 34 girls. Uro-Vaxom was found to be a valuable drug, supporting antibiotic therapy in recurrent urinary tract infections caused by E. coli.

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