Nocturnal enuresis in children has big impact in the life of the adult.

-The child enurético should be dealt with by the appropriate medical specialist and only in few cases require, in its infancy, the involvement of a psychologist

– at the same time the rate has an impact comparable to other chronic diseases such as hypertension, diabetes or arthritis

Glasgow, 2011-September new data, presented last Friday at the Congress of the International Continence Society (International Continence Society) in Glasgow (1), suggest that the enuresis – wet the bed while you sleep – in children might be an indicator of future rate (medical term that designates the need to get up to urinate)(, at least on two occasions, during the night) and night-time bedwetting in young adulthood.

This new study carried out by a group of German researchers aims to establish the degree of relationship between the rate and a history of enuresis in childhood.

The study submitted to 1,201 adults to a questionnaire according to their degree of relationship; Thus the 53.4% of participants reported suffering rate, 18.1 per cent reported intermittent symptoms of nocturnal enuresis and the remaining 28.5% acted as control group.

In comparison with the control group, results showed that the night-time bedwetting in children was a strong indicator of future night-time bedwetting in adults (p < 0.0001; predominance 9.841 reason). Nocturnal enuresis in children were also expressed as an indicator for the symptoms of rate in adult life (p = 0. 0747; reason for predominance 1.351).

These results reinforce the need for treatment of enuresis in children, not only to reduce the number of patients who can continue suffering night-time bedwetting in young adulthood, but also the number of those that could develop rate afterwards.

Enuresis affects the general welfare of the child and their quality of life and to not be treated, may persist into adulthood. Without treatment at least one in ten children will follow wetting the bed of life (2). The results of the study showing that at least 18% can continue suffering from adult enuresis and suggest.

In addition, do not treat this disarray can have a negative impact on children’s mental health and lead to the development of psychological disturbance and social (3).

It is estimated that in Europe more than five million children wet the bed (4). United Kingdom is the most frequent childhood chronic disorder after asthma, affecting more than half a million patients between 5 and 16 years old (5). Data presented last Friday represent an important warning that the problem did not progress into adulthood, manifesting itself as well as night-time bedwetting in adulthood or rate.

The importance of these findings is reinforced with additional research, also presented at the meeting of ITC in this year. The area of primary care of Boston held a questionnaire among 5.503 adults, to investigate the impact of the rate on the quality of life.

Alarmingly, the study revealed that the rate has an impact comparable to other chronic diseases such as hypertension, diabetes or arthritis. This also suggests that the need to frequently go to the bathroom at night increases the likelihood that these patients suffer from depression, especially if we talk about young men and women.

“Many parents are prepared to make their children back to school after summer vacation, night-time bedwetting is usually one of their major concerns.” It’s really important to remember that in most cases this problem can be treated medically and that it is not because of the child. “The first step to help your child and to prevent future problems is to talk to your pediatrician” stated Dr. Daniela Marschall-Kehrel of the German Academy of bedwetting. “These data show that it is really important to seek treatment for the general welfare of the child, but also to reduce the possible impact on the future”.

Nocturnal enuresis is the involuntary removal of urine during sleep, that occurs in children from five years unless there are problems in their central nervous system to the justifiquen7. It is a common problem with similar prevalence throughout the world.

For Dr. Santiago García-Tornel, Associate Professor of the University of Barcelona and clinical Chief of the service of Pediatrics of H. Sant Joan de Déu, parents and professionals still have misconceptions about the meanings, recently approved, incontinence, i.e. involuntary leakage of urine during the day and Bedwettingi.e., the leakage of urine occurring while the patient is asleep during the night, and even during the siesta. Some children who will then be adults may suffer both problems at once ”.

Night-time bedwetting is more common in boys than in girls, and if left untreated, 16% of elders aged 7 will continue to padeciéndola7. It is believed that children outweigh enuresis with age, but there is data in adults that demonstrate otherwise. Hong Kong studies suggest 2.5% still suffer the problem over the 40 years, and of them, 50 per cent suffers from enuresis three times or more each week. The data presented today makes clear the importance of treating enuresis (1).

Many parents are unaware that the night-time bedwetting is a chronic disease. Almost half of them ignore the problem, delaying his speech until your child wet the bed at least five times per week. In addition, 80% mistakenly believed that stress and concerns are the main cause of bedwetting in children (9).

Both works point out once again that bedwetting is not a psychological disorder and that it should not therefore be included in the DSM IV-TR, the Bible of psychiatrists ” and, unfortunately, seems nor will be removed from the next edition, DSM-v alsoshow a little-known aspect so far as the large number of patients enuréticos persistence up to the age of adulthood, and more remarkable still, others shall suffer rate with the disorder that leads to their quality of life, job performance and social relations. The child enurético should be treated by the specialist with proper medical treatment and only in few cases require, in its infancy, the involvement of a psychologist ”, indicates Dr. García-Tornel.

The reality is that, in most cases, enuresis is a disease that can be treated effectively and forever.

Referencia:

(1) Nykturie. Are today ’ s rate the former bedwetters patients? An internet based national epidemiological survey, ICS 2011, Abstract (ABSTRACT NUMBER 241)

(2) Hjälmås k. Pathophysiology and impact of nocturnal enuresis. ACTA Paediatr. 1997 Sep; 86 (9): 919-22.

(3) Schulpen TW. The burden of nocturnal enuresis. ACTA Paediatr. 1997 Sep; 86 (9): 981-4.

(4) http://www.ferring.com/en/therapeutic/urology/About+Bedwetting/

(5) ERIC 2001. A compilation from the Europe World Year Book 1998 using the statistics from surveys in Great Britain, Holland, new Zealand and Ireland (Butler 1998)

(6) ICS Abstract 543. Rate and Quality of Life. Results from the Boston Area Community Health (BACH) Survey. September 2011.

(7) Butler et to the. Alspac, 2005, BJU; 96: 404-410

(8) Yeung CK, Sreedhar B, Sihoe JD, Sit FK, Lau j. Differences in characteristics of nocturnal enuresis between children and adolescents: to critical appraisal from a large epidemiological study. BJU Int 2006; 97 (5): 1069-1073.

(9)BRMB International Survey, 2002