THERAPEUTIC RESULTS IN NOCTURNAL ENURESIS OF CHILDREN

Analyzed parameters: epidemiological data (age and sex of the child), type of NE (after the time of onset, association of daytime symptoms and severity), factors favoring daytime incontinence and NE, urinary density estimated using the urinary dip stick, mictional charts completed for at least 48 hours by parents, for assessing the functional bladder capacity (CVF), and the chart of wet nights completed by the child for assessing the therapeutic response. [6-12] According to ICCS definitions, non-monosymptomatic enuresis (NMNE) consists of two different disorders: nocturnal enuresis and lower urinary tract disfunction (LUTD), the treatment advisable recommending the following sequence of steps [1]: Treat any constipation or fecal incontinence first, because an effective treatment of bowel problems can lead to spontaneous remission of daytime incontinence [13,14]. In patients with NE, we analyzed the following study parameters: - epidemiological data: age, sex; - type of NE according to the time of onset: primary (no voluntary nocturnal micturition control was obtained), or secondary (NE appeared after a period of 6 months of dry nights); - type of NE from the point of view of the associated daytime symptoms: MNE (monosymptomatic nocturnal enuresis, without associated daytime symptoms) and NMNE (non-monosymptomatic nocturnal enuresis, with day symptoms present); - type of NE according to severity: moderate (2-5 wet nights/week) and severe (7/7 wet nights/week); - factors favoring LUTD: constipation, soiling, bowell-bladder syndrome, inflammation of the genitalia (vulvitis, balanitis), poor hygiene of genitalia (incorrect use of toilet paper in girls), history of urinary tract infections (UTI), intestinal parasitosis; - factors associated with EN: deep sleep, chronic adenoiditis, psychological and behavioral disorders, vitamin D3 deficiency, presence of NE in childhood at parents; - urinary density when tested in the ambulatory using the urinary dip stick; - micturition chart filled in for at least 48 hours by parents, for the assessment of functional bladder capacity (FBC), nocturnal polyuria and compliance of parents for a complete investigation of NE; - chart of wet nights filled in by the child, to appreciate the response to the therapeutic methods used. 3.RESULTS AND DISCUSSION 68% of the enuretic patients had ages between 5 to 8 years, only 28% of them being 7 year-old (Fig.1). Attention was paid to moderate, late-onset secondary enuresis (1 case at 12