Evaluation of Application Complaints, Co-Diagnoses and Treatments of Children and Adolescents Diagnosed with Enuresis

Abstract

INTRODUCTION: It was aimed to determine the information about application complaints, type of enuresis, comorbid diagnoses, family history, recommended treatment methods of patients diagnosed with enuresis METHODS: 86 cases who applied to our outpatient clinic between January 2014 and January 2019 and were diagnosed with enuresis are evaluated. RESULTS: Of the 86 patients included in the study, 34 (39.5%) were female and 52 (60.5%) were male. Primary enuresis was diagnosed in 52 (60.5%) of the cases diagnosed with enuresis and secondary enuresis in 34 (39.5%). After evaluation, 64 (74.4%) of the cases were diagnosed with enuresis only, enuresis and encopresis in 6 (7%). Apart from enuresis and encopresis, the most common psychiatric diagnosis was the diagnosis of Attention Deficit Hyperactivity Disorder. Keeping a calendar (sun-cloud), fluid restriction, sleep hygiene rules were described in 69 (81.2%) of the cases under the title of 'behavioral recommendations', and [medical treatment was started in addition to behavioral recommendations in 13 cases (15.3%). It was determined that 18 (20.9%) of the cases had a family history of enuresis. DISCUSSION AND CONCLUSION: Consistent with the literature, our cases were found to be predominantly male and the comorbidity rate was high. Outpatient follow-up rates, compliance with treatment and treatment rates were also found to be low. Since enuresis is a disorder that negatively affects self-esteem and can cause secondary psychological problems, it is important to apply treatment algorithms suitable for early diagnosis and etiological factor.

Keywords

• child
• adolescent
• enuresis
• comorbidity