Nonmonosymptomatic Nocturnal Enuresis

  • Chapter
  • First Online:
Clinical Urodynamics in Childhood and Adolescence

Abstract

Nonmonosymptomatic nocturnal enuresis (NMNE) is defined as the presence of diurnal voiding symptoms in a patient with nocturnal enuresis. In enuresis patients aged 7 years the incidence of NMNE is about 20–30%. There is a strong possibility that NMNE patients have bowel problems such as constipation or stool incontinence and a psychiatric problem such as attention deficit hyperactivity disorder (ADHD). Treatment of NMNE must include treatment of diurnal voiding symptoms. Without treatment of diurnal voiding symptoms, nocturnal enuresis frequently does not respond to conventional treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Neveus T, von Gontard A, Hoebeke P, Hjalmas K, Bauer S, Bower W, et al. The standardization of terminology of lower urinary tract function in children and adolescents: report from the standardization committee of the International Children’s Continence Society. J Urol. 2006;176:314–24.

    Article  PubMed  Google Scholar 

  2. Franco I, von Gontard A, De Gennaro M. International Childrens’s Continence Society. Evaluation and treatment of nonmonosymptomatic nocturnal enuresis: a standardization document from the International Children’s Continence Society. J Pediatr Urol. 2013;9:234–43.

    Article  PubMed  Google Scholar 

  3. Butler R, Heron J, The Alspac Study Team. Exploring the differences between mono- and polysymptomatic nocturnal enuresis. Scand J Urol Nephrol. 2006;40:313–9.

    Article  PubMed  Google Scholar 

  4. Joinson C, Heron J, Butler U, von Gontard A. Psychological differences between children with and without soiling problems. Pediatrics. 2006;117:1575–84.

    Article  PubMed  Google Scholar 

  5. Neveus T, Eggert P, Evans J, International Children’s Continence Society, et al. Evaluation of and treatment for monosymptomatic enuresis: a standardization document from the International Children’s Continence Society. J Urol. 2010;183:441–7.

    Article  PubMed  Google Scholar 

  6. Bower WF, Moore KH, Adams RD. A noble clinical evaluation of childhood incontinence and urinary urgency. J Urol. 2001;166:2411–5.

    Article  PubMed  CAS  Google Scholar 

  7. Rasquin A, Di LC, Forbes D, Guiraldes E, Hyams JS, Staiano A, et al. Childhood functional gastrointestinal disorders: child/adolescent. Gastroenterology. 2006;130:1527–37.

    Article  PubMed  Google Scholar 

  8. Lewis SJ, Heaton KW. Stool form scale as a useful guide to intestinal transit time. Scand J Gastroenterol. 1997;32:920–4.

    Article  PubMed  CAS  Google Scholar 

  9. Roth EB, Austin PF. Evaluation and treatment of nonmonosymptomatic enuresis. Pediatr Rev. 2014;35:430–6.

    Article  PubMed  Google Scholar 

  10. Lovering JS, Tallett SE, McKendry JB. Oxybutynin efficacy in the treatment of primary enuresis. Pediatrics. 1988;82:104–6.

    CAS  PubMed  Google Scholar 

  11. Glazener CM, Evans JH, Peto RE. Drugs for nocturnal enuresis in children (other than desmopressin and tricyclics). Cochrane Database Syst Rev. 2003;4:CD002238.

    Google Scholar 

  12. Kajbafzadeh AM, Lida Sharifi-Rad L, Mozafarpour S, Ladi-Seyedian S. Efficacy of transcutaneous interferential electrical stimulation in treatment of children with primary nocturnal enuresis: a randomized clinical trial. Pediatr Nephrol. 2015;30:1139–45.

    Article  PubMed  Google Scholar 

  13. Hagstroem S, Mahler B, Madsen B, Djurhuus JC, Rittig S. Transcutaneous electrical nerve stimulation for refractory daytime urinary urge Incontinence. J Urol. 2009;182:2072–8.

    Article  PubMed  Google Scholar 

  14. Lordêlo P, Teles A, Veiga ML, et al. Transcutaneous electrical nerve stimulation in children with overactive bladders: a randomized clinical trial. J Urol. 2010;184:683–9. Incontinence. J Urol. 2009

    Article  PubMed  Google Scholar 

  15. Veiga ML, Lordêlo P, Farias T, Barroso U Jr. Evaluation of constipation after parasacral transcutaneous electrical nerve stimulation in children with lower urinary tract dysfunction—a pilot study. J Pediatr Urol. 2013;9:622–6.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kwang Myung Kim M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Kim, K.M. (2018). Nonmonosymptomatic Nocturnal Enuresis. In: Mosiello, G., Del Popolo, G., Wen, J., De Gennaro, M. (eds) Clinical Urodynamics in Childhood and Adolescence. Urodynamics, Neurourology and Pelvic Floor Dysfunctions. Springer, Cham. https://doi.org/10.1007/978-3-319-42193-3_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-42193-3_18

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-42191-9

  • Online ISBN: 978-3-319-42193-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Navigation