Effect of adenoidectomy on nocturnal enuresis

ABSTRACT

This research work aims to find the relationship between adenoidectomy and nocturnal enuresis. Forty-five children were chosen from the outpatient clinic of pediatrics and otolaryngology of Al-Hussein University hospital and El-Sahel teaching hospital. All were suffering from adenoid hypertrophy and nocturnal enuresis at the same time. Fifteen of them were primary enuretics and 30 were secondary enuretics, their age ranged between 3 and 15 years; 10 were females and 35 were males. Full history was taken, and they were subjected to clinical examination including examination of the back and genitalia and otolaryngilogical examination to detect the enlarged adenoid and tonsils. All of them were also subjected to plain x-ray of the nasopharynx lateral view to detect the hypertrophied adenoid, and complete urine analysis to exclude urinary tract infection. All the 45 children were then subjected to adenoidectomy or adenotonsillectomy and were followed up after one month from the operation for the frequency of the enuresis. They showed a decrease in the average of wet nights per week where they went from a collective average 4.4 wet nights per week preoperatively to 1.2 wet nights per week postoperatively