Relationship between primary monosymptomatic enuresis and process toilet training: a case-control
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Universidade Federal de Minas Gerais
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Objective: Primary monosymptomatic nocturnal enuresis (PMNE) is a prevalent condition in childhood, and the pathophysiology is multifactorial. This study investigated the relationship between the toilet training process (TT) and PMNE in children and adolescents.
Patients and Methods: A case-control study was carried out from 2015 to 2020. The presence of PMNE was identified according to International Children’s Continence Society criteria. A semi-structured questionnaire was applied to assess TT. Results: The study included 103 children and adolescents with PMNE and 269 parti cipants with normal psychomotor development without PMNE (control group [CG]). Readiness signals were more remembered and less frequent in participants with PMNE (p=0.001) when compared to control group. No differences were found betwe en the groups regarding the onset age of the daytime TT (p= 0.10), the nocturnal TT
(p=0.08), the acquisition of daytime continence (p=0.06), and the type of equipment used for the TT (p=0.99). The use of Child-Oriented approach in group of children with enuresis was lower than in controls [87.4% (90/103) versus 94% (250/266)], respectively (OR= 0.44, 95% CI 0.21-0.94, p = 0.039).Conclusions: The age of onset of TT, acquisition of daytime continence, and the type of equipment were not associated with higher occurrence of PMNE. On the other hand, the Child-Oriented approach was a protective factor for the occurrence of PMNE.
Abstract
Assunto
Enuresis, Toilet training, Children, Nocturnal Enuresis
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Enuresis, Toilet training, Children, Nocturnal Enuresis
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https://www.intbrazjurol.com.br/pdf/vol48n05/IBJU20220056.pdf