The Effect of Adenotonsillectomy on Pediatric Nocturnal Enuresis: a Prospective Cohort Study | ||
| Iranian Journal of Otorhinolaryngology | ||
| مقاله 6، دوره 25، شماره 1، فروردین 2013، صفحه 37-40 اصل مقاله (139.65 K) | ||
| نوع مقاله: Original | ||
| شناسه دیجیتال (DOI): 10.22038/ijorl.2012.65 | ||
| نویسندگان | ||
| Mohammad Saeed Ahmadi1؛ Shahriar Amirhassani2؛ Jalal Poorolajal3 | ||
| 1Department of Otolaryngology & Head and Neck surgery, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran. | ||
| 2Department of Urology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran. | ||
| 3Research Center for Health Sciences , Department of Epidemiology & Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran. | ||
| چکیده | ||
| Introduction: Sleep disorder caused by adenotonsillar hypertrophy has been implicated as a cause of primary and secondary nocturnal enuresis in children. This study was conducted to investigate the effect of adenotonsillectomy on enuresis in children with adenotonsillar hypertrophy. Materials and Methods: This prospective cohort study was conducted in Hamadan City in Western Iran, from April 2010 to December 2011. Ninety-seven children aged 3 to 12 years with adenotonsillar hypertrophy who were admitted to Besat Hospital for adenotonsillectomy were evaluated. The primary outcome was the number of incidents of bedwetting (nocturnal enuresis) post-operation compared with pre-operation. Patients were followed-up for 3 months. Data were collected using a questionnaire regarding number of bedwetting incidents, type of enuresis (primary or secondary), and family history of enuresis, as well as results of urine analysis. Results: Of 420 children admitted for adenotonsillectomy, 97 had a positive history of preoperative enuresis, including 42 girls and 55 boys, with mean age of 48 months. The parents of 84 (86.6%) children agreed to participate in the study. Three months after adenotonsillectomy, enuresis had resolved completely in 51 (60.7%) children and had shown relative improvement in 22 (26.2%) children. Enuresis had not improved in the remaining 11 (13.1%) children (P<0.001). Conclusion: The results of this study indicate that adenotonsillectomy can improve enuresis in the majority of children with adenotonsillar hypertrophy. However, further evidence based on large multi-center randomized clinical trials is required to confirm these results. | ||
| کلیدواژهها | ||
| Adenoids؛ Hypertrophy, Cohort studies؛ Enuresis, Iran | ||
| مراجع | ||
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