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Published in: World Journal of Urology 3/2017

01-03-2017 | Original Article

Prevalence of nocturnal enuresis and related risk factors in school-age children in Egypt: an epidemiological study

Authors: Ahmed Hamed, Fouad Yousf, Mohamed M. Hussein

Published in: World Journal of Urology | Issue 3/2017

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Abstract

Purpose

To determine the prevalence of mono-symptomatic nocturnal enuresis (MNE) and its risk factors among school-age children in our community.

Methods

A cross-sectional study included school-age children from two governorates in south of Egypt. A questionnaire was presented to randomly selected students. It consisted of 3 domains: Domain 1 included questions about MNE, domain 2 was about risk factors for MNE, and domain 3 was about management of MNE.

Results

The study included 4652 students (9 ± 2 years) from 12 primary schools (51 % males and 49 % females). Of 4652 students, 834 (18 %) had NE, with no significant difference between rural and urban areas (17.5 vs. 18.4 %, p = 0.4). Younger age categories showed higher prevalence of MNE than in older children. MNE caused moderate-to-severe bother for 44.5 and 87.8 % of students and parents, respectively. Urinary tract infection, pinworm infestation, constipation, and caffeine over-consumption significantly associated with MNE. Family history of MNE was positive in 84.7 %. Daytime incontinence coexisted in 16 % of cases. Children with ≥4 siblings and birth order ≥3 had more prevalent MNE. Deep sleepers and exposure to problems/violence correlated positively with occurrence of MNE. Father’s level of education and work status, mother education, number of children per room, and socioeconomic status significantly associated with occurrence of MNE. There was no significant correlation between gender and prevalence of MNE. No treatment was used in 53.2 % of cases.

Conclusion

In the Egyptian community, pinworm infestation, UTI, constipation, and overconsumption of caffeine-containing beverages are potential reversible risk factors for MNE in school-age children.
Literature
1.
go back to reference Neveus T, von Gontard A, Hoebeke P et al (2006) The standardization of terminology of lower urinary tract function in children and adolescents: report from the Standardisation Committee of the International Children’s Continence Society. J Urol 176:314–324CrossRefPubMed Neveus T, von Gontard A, Hoebeke P et al (2006) The standardization of terminology of lower urinary tract function in children and adolescents: report from the Standardisation Committee of the International Children’s Continence Society. J Urol 176:314–324CrossRefPubMed
2.
go back to reference Naitoh Y, Kawauchi A, Soh J, Kamoi K, Miki T (2012) Health related quality of life for monosymptomatic enuretic children and their mothers. J Urol 188:1910–1914CrossRefPubMed Naitoh Y, Kawauchi A, Soh J, Kamoi K, Miki T (2012) Health related quality of life for monosymptomatic enuretic children and their mothers. J Urol 188:1910–1914CrossRefPubMed
3.
go back to reference Sureshkumar P, Jones M, Caldwell PH, Craig JC (2009) Risk factors for nocturnal enuresis in school-age children. J Urol 182:2893–2899CrossRefPubMed Sureshkumar P, Jones M, Caldwell PH, Craig JC (2009) Risk factors for nocturnal enuresis in school-age children. J Urol 182:2893–2899CrossRefPubMed
4.
go back to reference Jalkut MW, Lerman SE, Churchill BM (2001) Enuresis. Pediatr Clin N Am 48:1461–1488CrossRef Jalkut MW, Lerman SE, Churchill BM (2001) Enuresis. Pediatr Clin N Am 48:1461–1488CrossRef
6.
go back to reference Aljefri HM, Basurreh OA, Yunus F, Bawazir AA (2013) Nocturnal enuresis among primary school children. Saudi J Kidney Dis Transplant 24:1233–1241CrossRef Aljefri HM, Basurreh OA, Yunus F, Bawazir AA (2013) Nocturnal enuresis among primary school children. Saudi J Kidney Dis Transplant 24:1233–1241CrossRef
7.
go back to reference Gunes A, Gunes G, Acik Y, Akilli A (2009) The epidemiology and factors associated with nocturnal enuresis among boarding and daytime school children in southeast of Turkey: a cross sectional study. BMC Public Health 9:357CrossRefPubMedPubMedCentral Gunes A, Gunes G, Acik Y, Akilli A (2009) The epidemiology and factors associated with nocturnal enuresis among boarding and daytime school children in southeast of Turkey: a cross sectional study. BMC Public Health 9:357CrossRefPubMedPubMedCentral
8.
go back to reference Bakhtiar K, Pournia Y, Ebrahimzadeh F, Farhadi A, Shafizadeh F, Hosseinabadi R (2014) Prevalence of nocturnal enuresis and its associated factors in primary school and preschool children of khorramabad in 2013. Int J Pediatr. doi:10.1155/2014/120686 PubMedPubMedCentral Bakhtiar K, Pournia Y, Ebrahimzadeh F, Farhadi A, Shafizadeh F, Hosseinabadi R (2014) Prevalence of nocturnal enuresis and its associated factors in primary school and preschool children of khorramabad in 2013. Int J Pediatr. doi:10.​1155/​2014/​120686 PubMedPubMedCentral
9.
go back to reference Yousef KA, Basaleem HO, bin Yahiya MT (2011) Epidemiology of nocturnal enuresis in basic schoolchildren in Aden Governorate, Yemen. Saudi J Kidney Dis Transplant 22:167–173 Yousef KA, Basaleem HO, bin Yahiya MT (2011) Epidemiology of nocturnal enuresis in basic schoolchildren in Aden Governorate, Yemen. Saudi J Kidney Dis Transplant 22:167–173
10.
go back to reference Hjalmas K, Arnold T, Bower W et al (2004) Nocturnal enuresis: an international evidence based management strategy. J Urol 171:2545–2561CrossRefPubMed Hjalmas K, Arnold T, Bower W et al (2004) Nocturnal enuresis: an international evidence based management strategy. J Urol 171:2545–2561CrossRefPubMed
11.
go back to reference Cher TW, Lin GJ, Hsu KH (2002) Prevalence of nocturnal enuresis and associated familial factors in primary school children in taiwan. J Urol 168:1142–1146CrossRefPubMed Cher TW, Lin GJ, Hsu KH (2002) Prevalence of nocturnal enuresis and associated familial factors in primary school children in taiwan. J Urol 168:1142–1146CrossRefPubMed
12.
go back to reference Spee-van der Wekke J, Hirasing RA, Meulmeester JF, Radder JJ (1998) Childhood nocturnal enuresis in The Netherlands. Urology 51:1022–1026CrossRefPubMed Spee-van der Wekke J, Hirasing RA, Meulmeester JF, Radder JJ (1998) Childhood nocturnal enuresis in The Netherlands. Urology 51:1022–1026CrossRefPubMed
13.
go back to reference Fockema MW, Candy GP, Kruger D, Haffejee M (2012) Enuresis in South African children: prevalence, associated factors and parental perception of treatment. BJU Int 110:E1114–E1120CrossRefPubMed Fockema MW, Candy GP, Kruger D, Haffejee M (2012) Enuresis in South African children: prevalence, associated factors and parental perception of treatment. BJU Int 110:E1114–E1120CrossRefPubMed
14.
go back to reference Yeung CK, Sreedhar B, Sihoe JD, Sit FK, Lau J (2006) Differences in characteristics of nocturnal enuresis between children and adolescents: a critical appraisal from a large epidemiological study. BJU Int 97:1069–1073CrossRefPubMed Yeung CK, Sreedhar B, Sihoe JD, Sit FK, Lau J (2006) Differences in characteristics of nocturnal enuresis between children and adolescents: a critical appraisal from a large epidemiological study. BJU Int 97:1069–1073CrossRefPubMed
15.
go back to reference Schum TR, McAuliffe TL, Simms MD, Walter JA, Lewis M, Pupp R (2001) Factors associated with toilet training in the 1990s. Ambul Pediatr 1:79–86CrossRefPubMed Schum TR, McAuliffe TL, Simms MD, Walter JA, Lewis M, Pupp R (2001) Factors associated with toilet training in the 1990s. Ambul Pediatr 1:79–86CrossRefPubMed
16.
go back to reference Schum TR, Kolb TM, McAuliffe TL, Simms MD, Underhill RL, Lewis M (2002) Sequential acquisition of toilet-training skills: a descriptive study of gender and age differences in normal children. Pediatrics 109:E48CrossRefPubMed Schum TR, Kolb TM, McAuliffe TL, Simms MD, Underhill RL, Lewis M (2002) Sequential acquisition of toilet-training skills: a descriptive study of gender and age differences in normal children. Pediatrics 109:E48CrossRefPubMed
17.
go back to reference Wen JG, Wang QW, Chen Y, Wen JJ, Liu K (2006) An epidemiological study of primary nocturnal enuresis in Chinese children and adolescents. Eur Urol 49:1107–1113CrossRefPubMed Wen JG, Wang QW, Chen Y, Wen JJ, Liu K (2006) An epidemiological study of primary nocturnal enuresis in Chinese children and adolescents. Eur Urol 49:1107–1113CrossRefPubMed
18.
go back to reference Devlin JB (1991) Prevalence and risk factors for childhood nocturnal enuresis. Ir Med J 84:118–120PubMed Devlin JB (1991) Prevalence and risk factors for childhood nocturnal enuresis. Ir Med J 84:118–120PubMed
19.
go back to reference Chandra M, Saharia R, Hill V, Shi Q (2004) Prevalence of diurnal voiding symptoms and difficult arousal from sleep in children with nocturnal enuresis. J Urol 172:311–316CrossRefPubMed Chandra M, Saharia R, Hill V, Shi Q (2004) Prevalence of diurnal voiding symptoms and difficult arousal from sleep in children with nocturnal enuresis. J Urol 172:311–316CrossRefPubMed
20.
go back to reference von Gontard A, Schaumburg H, Hollmann E, Eiberg H, Rittig S (2001) The genetics of enuresis: a review. J Urol 166:2438–2443CrossRef von Gontard A, Schaumburg H, Hollmann E, Eiberg H, Rittig S (2001) The genetics of enuresis: a review. J Urol 166:2438–2443CrossRef
21.
go back to reference De Paepe H, Renson C, Van Laecke E, Raes A, Vande Walle J, Hoebeke P (2000) Pelvic-floor therapy and toilet training in young children with dysfunctional voiding and obstipation. BJU Int 85:889–893CrossRefPubMed De Paepe H, Renson C, Van Laecke E, Raes A, Vande Walle J, Hoebeke P (2000) Pelvic-floor therapy and toilet training in young children with dysfunctional voiding and obstipation. BJU Int 85:889–893CrossRefPubMed
22.
go back to reference Bower WF, Sit FK, Yeung CK (2006) Nocturnal enuresis in adolescents and adults is associated with childhood elimination symptoms. J Urol 176:1771–1775CrossRefPubMed Bower WF, Sit FK, Yeung CK (2006) Nocturnal enuresis in adolescents and adults is associated with childhood elimination symptoms. J Urol 176:1771–1775CrossRefPubMed
23.
go back to reference Otu-Bassey IB, Useh MF, Alaribe AA (2011) The post-treatment effects of enterobiasis on the occurrence of enuresis among children in Calabar, Nigeria. Asian Pac J Trop Med 4:315–319CrossRefPubMed Otu-Bassey IB, Useh MF, Alaribe AA (2011) The post-treatment effects of enterobiasis on the occurrence of enuresis among children in Calabar, Nigeria. Asian Pac J Trop Med 4:315–319CrossRefPubMed
24.
go back to reference Gur E, Turhan P, Can G et al (2004) Enuresis: prevalence, risk factors and urinary pathology among school children in Istanbul, Turkey. Pediatr Int 46:58–63CrossRefPubMed Gur E, Turhan P, Can G et al (2004) Enuresis: prevalence, risk factors and urinary pathology among school children in Istanbul, Turkey. Pediatr Int 46:58–63CrossRefPubMed
25.
go back to reference Osungbade KO, Oshiname FO (2003) Prevalence and perception of nocturnal enuresis in children of a rural community in southwestern Nigeria. Trop Dr 33:234–236CrossRef Osungbade KO, Oshiname FO (2003) Prevalence and perception of nocturnal enuresis in children of a rural community in southwestern Nigeria. Trop Dr 33:234–236CrossRef
Metadata
Title
Prevalence of nocturnal enuresis and related risk factors in school-age children in Egypt: an epidemiological study
Authors
Ahmed Hamed
Fouad Yousf
Mohamed M. Hussein
Publication date
01-03-2017
Publisher
Springer Berlin Heidelberg
Published in
World Journal of Urology / Issue 3/2017
Print ISSN: 0724-4983
Electronic ISSN: 1433-8726
DOI
https://doi.org/10.1007/s00345-016-1879-2

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