AI Summary & Key Takeaways
AI InsightTherefore, assessing ANS functions in patients classified according to the etiologies may be more useful to demonstrate the link between ANS dysfunction and NE.
📌 3 Key Takeaways
Abstract
Introduction: The autonomic nervous system (ANS) is likely to play a role in some of the etiologic factors of nocturnal enuresis (NE), such as nocturnal polyuria, disorder of arousal, or detrusor hyperactivity. The aim of this study was to evaluate ANS functions in children with NE. Methods: Twenty-two children with NE and 20 healthy children were allocated for this study. In electrophysiologic evaluation, palmar and plantar sympathetic skin responses (SSR) and RR interval variation (RRIV) were carried out in both groups. The minimum and mean latencies of SSRs, maximum and mean amplitudes of SSRs, RRIV at rest and during deep breathing, the difference between resting and deep breathing RRIVs, ratio of deep breathing to resting RRIV, and maximum to minimum RR interval at rest and during deep breathing were calculated. For group comparisons; Mann–Whitney U test was used for abnormally distributed data, independent t-test was used for normally distributed data for continuous variables. Results: The mean ages were 10.75±3.49 and 10.91±3.10 years for patients and controls, respectively. There was no significant difference between the groups in terms of age and sex (p>0.05). Palmar and plantar SSRs could be obtained in all subjects in NE and control groups. There was no significant difference between the groups in SSR or RRIV parameters (p>0.05). Discussion and Conclusion: This result suggests that ANS system functions may be normal in enuretic group when not classified for the etiologies. However, the effect of the ANS may be more evident for one of the above-mentioned etiologic factors. Therefore, assessing ANS functions in patients classified according to the etiologies may be more useful to demonstrate the link between ANS dysfunction and NE.