Open AccessPediatric Enuresis, Sleep Apnea, and Adenotonsillectomy
Author(s) -
Jeyakumar Anita,
Armbrecht Eric S.,
Rahman Syed I.,
Mitchell Ron B.
Publication year - 2011
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599811416318a229
Subject(s) - enuresis , medicine , tonsillectomy , pediatrics , sleep disordered breathing , population , adenoidectomy , obstructive sleep apnea , anesthesia , environmental health
Objective To evaluate the prevalence of nocturnal enuresis in children diagnosed with sleep disordered breathing and the effect of adenotonsillectomy on enuresis. Method A systematic analysis of the literature was performed from 1980 to 2010 on patients who had documented sleep disordered breathing, along with data collection on enuresis. Data were noted if the patient underwent adenotonsillectomy (T&A) with follow‐up documentation on enuresis. Results A total of 14 studies (1998‐2010) were reviewed. The total number of subjects was 21,744 to 51.77% were male. The age range was 18 months — 19 years. The prevalence of SDB was 16.3% (3,550 subjects), and 31% (or 1,113 subjects) had preoperative enuresis. We analyzed 7 studies with post‐tonsillectomy follow‐up. Mean sample size was 194, median follow‐up was 6 months, and age range was 2 to 18 years. The preoperative and postoperative prevalence of enuresis were 32% (408/1,274 enrolled subjects) and 16%, respectively, based on the available sample of 587 subjects. Conclusion Sleep‐disordered breathing in children has a higher prevalence of nocturnal enuresis as compared with the general population. Adenotonsillectomy has a favorable therapeutic effect on enuresis in children with SDB. There is a need for further prospective trials.