Abstract
In this paper we report the results pertaining to a cross sectional study carried out on 617 households in Nassiryiah City-Thi Qar governorate. The study aims at determining, among other things, the prevalence of enuresis among children aged 5-15 years. A total of 942 children in the targeted age group were identified and 233 of them were reported to have enuresis. These figures gave an overall prevalence rate of enuresis at 24.7% with substantial decrease with advancing age from 40.6% in children aged 5-6 years to 5.4% in children aged 13-15 years. The prevalence was higher among first born children (31.5%) as compared to those born afterwards (22.0%). The prevalence was also higher among children with positive family history (52.4%) as compared to those with negative family history (18.2%) but no difference was detected between sexes. The majority of cases of enuresis were of primary type (95.7%), nocturnal timing (97.0%) and of daily frequency (44.0%). The study came to the conclusion that enuresis is common in children in Nassiryiah city and deserves more care from the medical profession.
Highlights
C hildhood enuresis is a common behavioural condition reported in millions of children worldwide. [1,2,3,4,5] It is defined as the voluntary or involuntary repeated discharge of urine into clothes or bed after a developmental age when bladder control should be established
Some studies state that there is no substantial evidence that those children with primary nocturnal enuresis continuing until age 10 years have any increased rate of emotional disorders when compared with non-enuretic children
Most of the cases suffered from primary enuresis (95.7%) and only 4.3% were of secondary type
Summary
C hildhood enuresis is a common behavioural condition reported in millions of children worldwide. [1,2,3,4,5] It is defined as the voluntary or involuntary repeated discharge of urine into clothes or bed after a developmental age when bladder control should be established. Other proposed but controversial aetiologies of nocturnal enuresis include reduced bladder capacity and abnormal secretion patterns of antidiuretic hormone.[6] Some studies state that there is no substantial evidence that those children with primary nocturnal enuresis continuing until age 10 years have any increased rate of emotional disorders when compared with non-enuretic children. [8] With regard to treatment, enuresis is a pediatric public health problem and concerted efforts at all levels, i.e. professional, promotional, educational, and public should be made to address its multiple domains such as preventive, etiological, and curative.[9] a variety of pharmacological and nonpharmacological modalities are traced, there is yet no agreement on a single strategy In such cases, the modified treatment protocol should include psychological counseling and support. Data were fed into computer and the Statistical Package for Social Science was used for analysis
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