The efficacy of adenotonsillectomy on nocturnal enuresis for children diagnosed with obstructive sleep apnea

DOI
  • Arima Sachie
    Good Sleep Center, Nagoya City University Hospital Department of Otolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medicine
  • Esaki Shinichi
    Good Sleep Center, Nagoya City University Hospital Department of Otolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medicine
  • Katsumi Sachiyo
    Department of Otolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medicine
  • Sato Shintaro
    Good Sleep Center, Nagoya City University Hospital Department of Otolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medicine
  • Iwasaki Shinichi
    Department of Otolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medicine

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Other Title
  • 小児無呼吸に対する手術の夜尿への効果

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Description

Purpose: To evaluate the efficacy of adenotonsillectomy on nocturnal enuresis for children diagnosed with obstructive sleep apnea. <br>Material and Methods: We retrospectively evaluated children aged 2 to 11 years old diagnosed with sleep apnea by polysomnography and nocturnal enuresis requiring adenotonsillectomy to treat upper airway obstruction for twelve years between 2011 and 2022. Caregivers completed the questionnaire including the frequency of nocturnal enuresis at baseline and after adenotonsillectomy. <br>Results: Of the 78 children enrolled, 33 had nocturnal enuresis. After adenotonsillectomy, the frequency of nocturnal enuresis was significantly reduced. In children aged 5 years or older （n＝23）, the number with nocturnal enuresis was 12 and after adenotonsillectomy, 5 children （41.7％） were cured. <br>Conclusion: Nocturnal enuresis is defined as discrete episodes of urinary incontinence that occur during sleep in children aged at least 5 years old and the source of nocturnal enuresis multifactorial. Studies have reported that children with sleep apnea have a higher prevalence of nocturnal enuresis than their healthy peers. However, according to the Japanese guideline for nocturnal enuresis, adenotonsillectomy has been considered insufficiently effective for treating nocturnal enuresis. Given the natural improvement of nocturnal enuresis, it is difficult to determine whether adenotonsillectomy is effective or not. Further research such as a prospective multicenter study is required.

Journal

  • Stomato-pharyngology

    Stomato-pharyngology 38 (1), 57-62, 2025

    Japan Society of Stomato-pharyngology

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