The effect of tonsillectomy and adenoidectomy on enuresis nocturna in pediatric patients

Abstract

Aim: Enuresis nocturna (EN) is a condition that is characterized by frequent intermittent night-time incontinence in children. The aim of this study was to investigate the effect of tonsillectomy and adenoidectomy on EN in patients with tonsil hypertrophy and adenoid hypertrophy. Material and Method: Thirty pediatric patients who were admitted to urology clinic between May 2015 and May 2016, who had completed toilet training and who were diagnosed with enuresis nocturna between the ages of 5 and 16 and had open mouth, snoring, breathing in sleep, were included in the study. A detailed ear,nose,throat examination and flexible endoscopic examination were performed in all patients. Patients were grouped according to tonsil and adenoid size. Demographic and examination findings of the patients were recorded. Patients were operated according to the condition of tonsils and adenoids, and 6 months later, control was performed. Results: The mean age of the participants was 9.36 ± 2.85. While 21 (70%) patients underwent adenoidectomy, 5 (16.6%) patients underwent tonsillectomy and 4 (13.3%) underwent tonsillectomy and adenoidectomy. Postoperative follow-up 6 months later, 15 (71.4%) patients underwent adenoidectomy and 1 (20%) underwent tonsillectomy, and 2 (50%) patients who underwent tonsillectomy and adenoidectomy were completely followed by the disappearance of complaints nocturnal enuresis. Thus, in the preoperative and postoperative 6th month evaluation, there was a statistically significant difference in the improvement of complaints of enuresis nocturna after surgery (p‹0.01). Conclusion: In conclusion, surgery for upper airway obstruction due to tonsil and adenoid hypertrophy in enuresis nocturna patients may contribute to the reduction of complaints of enuresis nocturna.