Arena Salvatore, Patricolo Mario
Unit of Paediatric Surgery, Department of Human Pathology in Adult and Developmental Age "Gaetano Barresi", University of Messina, Messina.
Pediatr Med Chir. 2017 Jun 23;39(2):150. doi: 10.4081/pmc.2017.150.
The aim of the present study was to investigate the prevalence of primary monosymptomatic nocturnal enuresis (PMNE) and its associated factors in a major referral centre for nocturnal enuresis in the City of Abu Dhabi. Children referred to the Pediatric Continence Clinic of Department of Pediatric and Urology Surgery at Al Noor Hospital, Abu Dhabi (UAE), between January 2014 and January 2016 for the suspected diagnosis of NE were considered. The inclusion criteria of our study were: age 5-14 years; full medical history and physical examination; urine dipstick to exclude glycosuria and proteinuria; completion of diagnostic urological work-up; final diagnosis of PMNE. Parents were encouraged to follow a program on urotherapy. All children underwent renal and bladder ultrasound, abdominal X-ray and uroflowmetry with electromyography. Constipation was treated, if present. 39 patients had a diagnosis of PMNE. A constipation was present in 17 children (43.6%). Statistical analysis documented a higher incidence of PMNE in the male groups. 38 out of 39 children (97.4%) resolved PMNE, 14 following urotherapy and 24 required medical therapy with desmopressin. Our experience clearly confirms a higher prevalence rate of PMNE in boys than in girls. In the study population, the large intake of dry and reducedin- fibers foods, the excessive intake of carbonated drinks and the hot climatic condition might negatively influence the incidence of fecal retention and the subsequent PMNE. A multi-modal assessment seems to be effective in the management of PMNE, showing a very high rate of resolution.
本研究的目的是调查阿联酋阿布扎比市一家主要遗尿症转诊中心原发性单症状性夜间遗尿症（PMNE）的患病率及其相关因素。研究对象为2014年1月至2016年1月期间因疑似遗尿症转诊至阿联酋阿布扎比努尔医院小儿泌尿外科小儿控尿诊所的儿童。本研究的纳入标准为：年龄5 - 14岁；完整的病史和体格检查；尿试纸检测以排除糖尿和蛋白尿；完成诊断性泌尿外科检查；最终诊断为PMNE。鼓励家长遵循尿疗方案。所有儿童均接受了肾脏和膀胱超声、腹部X线检查以及尿流率与肌电图检查。如有便秘则进行治疗。39例患者被诊断为PMNE。17名儿童（43.6%）存在便秘。统计分析表明男性组中PMNE的发病率较高。39名儿童中有38名（97.4%）的PMNE得到缓解，14名通过尿疗缓解，24名需要去氨加压素药物治疗。我们的经验清楚地证实男孩中PMNE的患病率高于女孩。在研究人群中，大量摄入干燥且纤维含量低的食物、过量摄入碳酸饮料以及炎热的气候条件可能会对粪便潴留的发生率以及随后的PMNE产生负面影响。多模式评估似乎对PMNE的管理有效，并显示出非常高的缓解率。
