Sleep Architecture Patterns in Enuretic Children with OSA

Objective: Nocturnal enuresis (NE) has been described in children with obstructive sleep apnea (OSA) related to adeno-tonsillar hypertrophy. For those affected adeno-tonsillectomy has demonstrated to improve both NE and OSA in many patients. Our objective is to determine if preoperative sleep architecture is associated with complete resolution of NE after adeno-tonsillectomy.Method: A prospective study of 18 pediatric patients (1/2011-2/2012) with primary NE who underwent adeno-tonsillectomy for OSA was conducted. Both preoperative polysomnograms (PSG) and pre- and postoperative reports of NE were recorded. Resolved vs unresolved postoperative nocturnal enuresis (RNE vs UNE) was the outcome evaluated. Data was assessed via chi-square/t test analyses.Results: Mean child age was 8.28 (SD = 2.3 years). All children reported presurgical primary NE. No RNE vs UNE age/gender differences were identified. Postsurgery, over half of participants reported NE resolution. Significant improvement of NE was identified i...