Primary nocturnal enuresis in children presenting to the outpatient Department of Khartoum ENT Teaching Hospital with adenotonsillar hypertrophy, Khartoum, Sudan
Satti Abdelrahim Satti, Safaa A. Medani, Mohamed A. Elabyad
Journal Title:Basic Research Journal of Medicine and Clinical Science
Background: Primary Nocturnal Enuresis (PNE) is a common health problem seen in childhood. It has many risk factors that can play a role in its etiology including an untreated adenotonsillar hypertrophy (ATH) which is the most common etiology of obstructed sleep apnea (OSA). Objective: This study was undertaken to determine the prevalence of PNE in children with adenotonsillar hypertrophy (ATH) and to reveal the relation of PNE with severity of ATH in Sudanese children. Material and Methods: A total of two hundreds and ninety patients diagnosed with ATH were recruited in this prospective study with age ranging from 5 to 15 years. The study was conducted in Khartoum ENT teaching hospital from Jan. to May 2012. Results: From 290 patients with adenotonsillar hypertrophy, 114 (39.3%) were proved to have primary nocturnal enuresis. From these 114 children, 86 (75.4%) were wetting their beds at least once a week. Almost half of the study population had grade 3 adenotonsillar hypertrophy. However, no statistically significant relationship was found between frequency of primary nocturnal enuresis and grading of adenotonsillar hypertrophy. Conclusion: Prevalence of primary nocturnal enuresis in children with adenotonsillar hypertrophy was high (40%). Children presenting with nocturnal enuresis should be evaluated for adenotonsillar hypertrophy. There is no association between primary nocturnal enuresis and severity of upper airway obstruction caused by adenotonsillar hypertrophy.
Keywords: Adenotonsillar hypertrophy, Primary nocturnal enuresis, Upper airway obstruction, Children