Effectiveness of adenotonsillectomy in improving of nocturnal enuresis in children with adenotonsillar hypertrophy

Abstract

Background: Nocturnal enuresis (NE) is an old & common childhood condition. It has been found that, there is a relationship between adenotonsillar hypertrophy in children & nocturnal enuresis. Aim: This study was conducted to see the effects of adenotonsillectomy on nocturnal enuresis in children with adenotonsillar hypertrophy. Methods: This study was conducted in Diwaniyah teaching hospital, Diwaniyah city, Iraq, from May 2012 to August 2014. The total number of children admitted for adenotonsillectomy or tonsillectomy alone were 287 children, 76 out of the total number were included in the study. The children were followed- up by the same questionnaire for four months postoperatively, including, age, the number of night bed wettings, type of enuresis and the results of urine examination. Results: Of total 287 children who were submitted for surgery, 76 children were eligible for the study, 48(63.16%) of the total number included in the study were males and 28 (36.84%) were females. The mean age was 7.2 y. Adenotonsillectomy was performed in 64 children, and tonsillectomy in 12 children. A complete improvement of nocturnal enuresis (NE) & daytime incontinence was achieved in 32 (42.11%) children. A mild to moderate improvement was observed in 38 (50%), while no improvement seen in the remaining 6 (7.89%) children postoperatively. Conclusion: Children with nocturnal enuresis should be evaluated by ENT surgeon to rule out any adenotonsillar hypertrophy for possible adenotonsillectomy effect. However, a wide base studies are needed to clarify these results.