The Effect of Adenotonsillectomy on Pediatric Nocturnal Enuresis

OMAR MOHAMMAD SHAFI; BILAL SHAFIQ DAR; ROMESH KUMAR BHATT

Volume : VIII, Issue : II, February - 2019

The Effect of Adenotonsillectomy on Pediatric Nocturnal Enuresis

Omar Mohammad Shafi, Bilal Shafiq Dar, Romesh Kumar Bhatt

Abstract :

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 at SMHS hospital, Kashmir from June 2016 to December 2018. Ninety-seven children aged 3 to 12 years with adenotonsillar hypertrophy who were admitted to SMHS Hospital for adenotonsillectomy were included in this study. 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 was 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 350 children admitted for adenotonsillectomy, 97 had a positive history of preoperative enuresis, including 42 girls and 55 boys, with mean age of 5.6 years. Three months after adenotonsillectomy, enuresis had resolved completely in 51 (52.55%) children and had shown relative improvement in 22 (22.6%) children. Enuresis had not improved in the remaining 11 (11.3%) 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