AUA: Surgery for Apnea May Help Resolve Enuresis

Tonsillectomy and adenoidectomy may resolve enuresis in children with sleep apnea

MONDAY, May 16 (HealthDay News) -- Tonsillectomy and adenoidectomy (T&A) may help resolve enuresis in children with obstructive sleep apnea syndrome (OSAS), according to research presented at the annual meeting of the American Urological Association, held from May 14 to 19 in Washington, D.C.

Larisa Kovacevic, M.D., of the Children's Hospital of Michigan in Detroit, and colleagues evaluated the records of 417 children with enuresis who had undergone T&A for OSAS, and conducted phone interviews to assess daytime enuresis (DE) and nighttime enuresis (NE) after the surgery.

After a mean postoperative follow-up of 11.7 months, the investigators found that 101 children (24 percent) had NE; of those 101 children, 23 had DE. Approximately one-half of children who underwent T&A demonstrated resolution of NE. The investigators also found that prematurity was the best predictor of failure to see resolution of enuresis symptoms after surgery.

"Lower response rate was associated with male gender, prematurity, obesity, non-monosymptomatic NE, and family history of NE. Prematurity was the single best predictor of failure to respond to T&A. Improved arousal may be partly responsible for the effect of T&A on both NE and DE in children with OSAS," the authors write.

Abstract No. 827
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