Relationship between primary monosymptomatic enuresis and process toilet training: a case-control

• Autor(a) principal: Tânia Antunes Carvalho
• Data de Publicação: 2022
• Outros Autores: Mônica Maria de Almeida Vasconcelos, José de Bessa Junior, José Murillo Bastos Netto, Melissa Faria Dutra, Isabela Cristina de Oliveira Guimarães, Eleonora Moreira Lima, Ana Cristina Simões e Silva, Flavia Cristina de Carvalho Mrad
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: http://hdl.handle.net/1843/59685
• topic: Enuresis; Toilet training; Children; Nocturnal Enuresis; Enuresis; Toilet training; Children; Nocturnal Enuresis

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.