Prompted voiding for nighttime incontinence in nursing homes: is it effective? J Am Geriatr Soc. Ouslander JG, Ai-Samarrai N, Schnelle JF. A comprehensive review of the evaluation and managament of adult nocturia. Management of nocturia and nocturnal polyuria. A prospective, randomized, crossover study. Clinical and urodynamic efficacy of oxybutynin and verapamil in the treatment of nocturnal enuresis after formation of orthotopic ileal neobladders. Nocturnal enuresis: prevalence and associated LUTS in adult women attending a urogynaecology clinic. Nocturnal enuresis in adolescents and adults is associated with childhood elimination symptoms. Nocturnal enuresis in sickle cell disease and thalassemia major: associated factors in a clinical sample. Risk factors and functional abnormalities associated with adult onset secondary nocturnal enuresis in women. One and the same? Nocturnal enuresis and overactive bladder in the female veteran population: evaluation of a large National Database. Ninivaggio C, Riese H, Dunivan GC, Jeppson PC, Komesu YM, Murata A, et al. Association of obstructive sleep apnea risk factors with nocturnal enuresis in postmenopausal women. Koo P, McCool FD, Hale L, Stone K, Eaton CB. Desmopressin and nocturnal voiding dysfunction: clinical evidence and safety profile in the treatment of nocturia. The use of desmopressin in the management of nocturnal enuresis in patients with spinal cord injury. Zahariou A, Karagiannis G, Papaioannou P, Stathi K, Michail X. Clinical experiences with desmopressin for long-term treatment of nocturia. Lose G, Mattiasson A, Walter S, Lalos O, van Kerrebroeck P, Abrams P, et al. This is the most comprehensive review to date on adult nocturnal enuresis. A comprehensive review of adult enuresis. Akhavizadegan H, Locke JA, Stothers L, Kavanagh A.A healthy bladder: a consensus statement. Lukacz ES, Sampselle C, Gray M, Macdiarmid S, Rosenberg M, Ellsworth P, et al. Nocturnal polyuria versus overactive bladder in nocturia. Urodynamic findings in adults with primary nocturnal enuresis. Yeung CK, Sihoe JD, Sit FK, Diao M, Yew SY. The evaluation and treatment of adult nocturnal enuresis. Noctural enuresis as a risk factor for falls in older community dwelling women with urinary incontinence. Pahwa AK, Andy UU, Newman DK, Stambakio H, Schmitz KH, Arya LA. 45 patients were evaluated to determine risk factors and adverse effects of adult NE. Adult Onset Nocturnal Enuresis: Identifying Causes, Cofactors and Impact on Quality of Life. Characteristics of primary nocturnal enuresis in adults: an epidemiological study. Yeung CK, Sihoe JD, Sit FK, Bower W, Sreedhar B, Lau J. Papers of particular interest, published recently, have been highlighted as: Future studies will provide a better framework for treating this problem. Treatment should first target identifiable etiologies, although a generalized algorithm can then be utilized with behavioral and lifestyle modifications, followed by medical therapy. A comprehensive workup requires an understanding of the patient’s history and symptomatology and the pathophysiologic processes that can occur. SummaryĪdult nocturnal enuresis is multifactorial and may have multiple underlying pathologies. The modern urologist should understand the complexity of this problem and the variety of techniques to evaluate and treat the adult patient with NE. Furthermore, treatment approaches highlight the importance of identifying risk factors and contributing pathologies. In the few existing studies, the management strategy is extrapolated from research on pediatric nocturnal enuresis. Recent FindingsĪlthough nocturnal enuresis (NE) impacts a significant proportion of the adult population, research on this topic remains lacking. The goal of this paper is to describe the pathophysiology of adult nocturnal enuresis and develop a generalized approach for evaluation and treatment.
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