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The determination of six-year-old enuretic children's experiences using the dramatization method.

J Pediatr Urol

November 2024

Child Care and Youth Services Department, Vocational School of Social Sciences, Gaziantep University, Gaziantep, Turkey. Electronic address:

Introduction: Enuresis nocturna (NE) is a condition in which a child over the age of five wets the bed at least two nights a week for at least three months. Physical diseases, deep sleep, familial predisposition, psychological reasons, separation from parents, fear, traumatic experiences, sibling jealousy, inadequate-irregular toilet training are effective in the emergence of NE.

Objective: The aim of this study was to determine the prevalence of NE in 66-72-month-old children attending kindergarten, to examine the variables associated with NE, and to identify the feelings, thoughts and experiences of enuretic children.

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Background: Enuresis has a complex pathophysiology involving nocturnal polyuria, reduced bladder capacity at nighttime, and impaired arousability. Desmopressin has long been used as a treatment. However, approximately 30% of children do not fully respond to it, suggesting the involvement of other factors.

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Article Synopsis
  • The study examined sleep patterns in children with nocturnal enuresis (NE) using a brain-wave-sensing device.
  • Ten patients participated, providing data on their sleep and NE occurrences over a week while wearing the MUSE-S™ device.
  • Results indicated that sleep stages affect arousal thresholds; NE events were less responsive to alarms during deep sleep but more responsive during light sleep, suggesting that timing and sleep stage management could improve treatment.
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Background: Enuresis refers to urinary incontinence during sleep in children over 5 years of age. The pathogenesis of enuresis is complex. It is related to low functional bladder capacity, nocturnal bladder overactivity, and high arousal threshold, and it is also related to the immaturity of the central nervous system.

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Aim: To investigate the role of autonomic nervous system in subpopulations of children with enuresis.

Methods: We included 35 children with enuresis, divided in children with (17) and without nocturnal polyuria (18) and 43 healthy controls. For all participants hormones and neurotransmitters were measured.

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