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Introduction <p>Nocturnal enuresis (bedwetting) is a common condition affecting children, significantly impacting a child’s emotional and psychological well-being. This study aimed to estimate the prevalence of nocturnal enuresis among children aged 5–12 years who have undergone adenotonsillectomy and to determine the association between adenotonsillectomy and nocturnal enuresis.</p> Materials and Methods <p>A hospital-based cross-sectional study was conducted over six months in the ENT and Paediatrics departments of a tertiary care hospital. Children aged 5–12 years who had undergone adenotonsillectomy at least six months prior were included. A total of 148 children were analysed. Data on pre- and post-operative nocturnal enuresis were collected via caregiver interviews and hospital records. Statistical analysis included chi-square test to test the association of enuresis with clinical variables.</p> Results <p>Before surgery, 39 children (26.4%) had nocturnal enuresis, which reduced to 28 (18.9%) at 3 months and 21 (14.2%) at 6 months post-surgery. Significant improvement in enuresis was associated with higher grades of tonsillar hypertrophy (<i>p</i> = 0.025) and the presence of failure to thrive (<i>p</i> = 0.036) at 3 months. These associations were not significant at 6 months, suggesting widespread resolution over time.</p> Conclusion <p>Adenotonsillectomy may contribute to improvement in nocturnal enuresis among children with upper airway obstruction. Further research is needed to understand the underlying mechanisms and identify which children benefit the most.</p>

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A Cross-Sectional Study on the Association between Adenotonsillectomy and Nocturnal Enuresis among Children 5 To 12 Years of Age

  • 期刊论文

  • 发表日期：

    2025年8月4日

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  • Namasivaya Navin R B,
  • S Prabakaran,
  • K Gowthame,
  • D Balaji,
  • S Vijayalakshmi,
  • R Lakshana,
  • R Muthukumar,
  • S Rajasekaran

摘要

Introduction

Nocturnal enuresis (bedwetting) is a common condition affecting children, significantly impacting a child’s emotional and psychological well-being. This study aimed to estimate the prevalence of nocturnal enuresis among children aged 5–12 years who have undergone adenotonsillectomy and to determine the association between adenotonsillectomy and nocturnal enuresis.

Materials and Methods

A hospital-based cross-sectional study was conducted over six months in the ENT and Paediatrics departments of a tertiary care hospital. Children aged 5–12 years who had undergone adenotonsillectomy at least six months prior were included. A total of 148 children were analysed. Data on pre- and post-operative nocturnal enuresis were collected via caregiver interviews and hospital records. Statistical analysis included chi-square test to test the association of enuresis with clinical variables.

Results

Before surgery, 39 children (26.4%) had nocturnal enuresis, which reduced to 28 (18.9%) at 3 months and 21 (14.2%) at 6 months post-surgery. Significant improvement in enuresis was associated with higher grades of tonsillar hypertrophy (p = 0.025) and the presence of failure to thrive (p = 0.036) at 3 months. These associations were not significant at 6 months, suggesting widespread resolution over time.

Conclusion

Adenotonsillectomy may contribute to improvement in nocturnal enuresis among children with upper airway obstruction. Further research is needed to understand the underlying mechanisms and identify which children benefit the most.