Late-onset secondary nocturnal enuresis in adolescents associated with post-traumatic stress disorder developed after a traffic accident
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Abstract:
Secondary nocturnal enuresis is generally seen between 5 and 7 years of age and it is rarely encountered when compared with the primary incontinence. Patients with suggested diagnosis of secondary nocturnal enuresis should be examined for neurological and spinal anomalies and diabetes mellitus, diabetes insipidus, renal failure and urinary tract infection should be ruled out in differential diagnosis (1-3). Herein, we are presenting case reports of adolescent patients with secondary nocturnal enuresis refractory to medical therapy and developed after in-vehicle and extravehicular accidents.Doctors often dismiss nocturnal enuresis--bedwetting--as a minor problem and suggest that the child will 'grow out of it'. Bedwetting can damage the child's self-esteem, with long-lasting consequences. Given the range of psychological and pharmacological measures available to manage nocturnal enuresis, such a conservative approach is unacceptable. These measures are outlined and discussed in this article.
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Aim: To study the urodynamic changes of neurogenic nocturnal enuresis(NNE)and monosymptomatic nocturnal enuresis(MNE). Methods: A total of 36 patients with NNE and 14 patients with MNE were collected and daytime urodynamic examination was performed. Results: The NNE patients were presented with abnormal daytime voiding besides nocturnal enuresis. The post void residual, detrusor instability, detrusor underactivity of the NNE group were significantly higher than those of the MNE group(P0.05), but the bladder compliance, Max urethral pressure,and Max closure pressure were significantly lower than those of the MNE group(P0.05). Conclusion: Patients with nocturnal enuresis should be firstly identified whether neurogenic damage exists, and urodynamic study is important to evaluate bladder function in cases with monosymptomatic nocturnal enuresis and neurogenic nocturnal enuresis.
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A significant relationship between nocturnal enuresis and motility is demonstrated in a 35 year old male patient who had chronic nocturnal enuresis. After further treatment this relationship disappeared and the enuresis progressively diminished.
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Nocturnal Enuresis affects 15% to 20% of 5-year-old children, 5% of 10-year-old children, and 1% to 2% of people aged 15 years and over. Without treatment, 15% of affected children will become dry each year [1] Nocturnal Enuresis also called bed wetting is involuntary urination while asleep after the age at which staying dry at night can be reasonably expected. Homoeopathy has a Great scope in the treatment of Nocturnal Enuresis because of its dynamic, individual and holistic concept where individual is considered for the treatment not the disease.
Urination
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夜尿症 (nocturnal enuresis: NE)は自尊心の低下や生活の質の低下 (Quality of Life: QOL)をきたすことが知られている。しかし,学校生活を含めた社会的影響は充分理解されていない。そのため,「社会的機能」と「学校の機能」の下位尺度を有するPedsQL を用いて非単一症候性NE (non-monosymptomatic nocturnal enuresis: NMNE) のQOL を調査した。
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In Indonesia and in other parts of the world a child with nocturnal enuresis is not an uncommon disease. Studies on nocturnal enuresis is still restricted in Indonesia. It is highly recommended to understand the disease because wetting problems can continue to more serious psychic developmental problems in our
young generation. This paper represents a review on some aspects of nocturnal enuresis.
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Nocturnal enuresis refers to an inability to control urination during sleep. The aim of this study is to determine the prevalence of nocturnal enuresis and its associated ultrasonic findings in children of Wasit. In this study 360 child were surveyed, 180 of them were male and 180 were female. The results showed that 7.5% of children had nocturnal enuresis, including 5.5% of primary nocturnal enuresis and 2% of secondary nocturnal enuresis. The prevalence of nocturnal enuresis in the boys (10.0%) was higher compared with that in the girls (5.0%). All children with nocturnal enuresis showed ultrasonic findings in form of thick bladder wall and bilateral mild dilated ureter, pelvis and calyces.
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