Enuresis and its association with obstructive sleep apnea

An important cause of enuresis and frequent nocturnal urination, obstructive sleep apnea syndrome, has been identified.

Nocturia (frequent nighttime urination) and enuresis are usually associated with urological, neurological diseases, as well as psycho-emotional trauma. The vast majority of patients with these problems turn to a urologist or a neurologist. Unfortunately, for some of them – those whose disorders are caused by sleep apnea – the treatment prescribed by these specialists does not help …

With frequent nocturnal urination, the presence of obstructive sleep apnea syndrome can be assumed if the patient has complaints of snoring, restless sleep, nocturnal hypertension and severe daytime sleepiness.

There is such a disorder as overactive bladder syndrome. It is characterized by increased daytime urination, urinary incontinence, and a frequent urge to urinate at night ( nocturia ). Similar, but exclusively “night” symptoms are characteristic of obstructive sleep apnea syndrome. Moreover, adults have frequent nocturnal urination, and enuresis in children.

It was found that disturbances in urine production during sleep apnea are associated with a disorder in the production of substances that normally regulate this process. To prove the association of enuresis and nocturia with obstructive sleep apnea syndrome, the number of awakenings at night and subsequent voluntary and involuntary urination were recorded in patients. All patients underwent polysomnography (sleep study) during the night. Objective polysomnography data showed that the majority of awakenings (79.3%) due to urination were due to apnea or hypopnea . The authors concluded that nocturnal awakenings are due to respiratory disorders – sleep apnea, and not the urge to urinate.

With nocturia and enuresis caused by respiratory failure during sleep apnea, it is advisable to use CPAP therapy aimed at eliminating respiratory disorders. The use of this method of treatment normalizes the functioning of the genitourinary system, and also eliminates many other symptoms of obstructive sleep apnea syndrome from the first night of treatment.

Modern devices for CPAP therapy are light, easy to use, and have a low noise level. At the request of the patient, you can choose a device with manual or automatic adjustment of therapeutic pressure. An example of an Auto-CPAP machine is Somnobalance E.

At present, improved Prisma Line CPAP devices from the new line of Weinmann , Germany have been developed. Their use allows the most effective and comfortable treatment of the entire spectrum of respiratory disorders in patients with obstructive sleep apnea syndrome.

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