Association between winter season and desmopressin treatment efficiency in children with monosymptomatic nocturnal enuresis: a pilot study

ABSTRACT Objectives: The purpose of our study was to assess the association between the winter season and desmopressin treatment failure in South Chinese children with monosymptomatic nocturnal enuresis (MNE). Materials and Methods: A retrospective study was conducted to analyze the clinical data...

Full description

Bibliographic Details
Main Authors: Mengkui Sun, Shoulin Li, Xuerui Sun, Zhimei Deng, Yanan Xu
Format: Article
Language:English
Published: Sociedade Brasileira de Urologia 2022-03-01
Series:International Brazilian Journal of Urology
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382022000200275&tlng=en
_version_ 1818338617238487040
author Mengkui Sun
Shoulin Li
Xuerui Sun
Zhimei Deng
Yanan Xu
author_facet Mengkui Sun
Shoulin Li
Xuerui Sun
Zhimei Deng
Yanan Xu
author_sort Mengkui Sun
collection DOAJ
description ABSTRACT Objectives: The purpose of our study was to assess the association between the winter season and desmopressin treatment failure in South Chinese children with monosymptomatic nocturnal enuresis (MNE). Materials and Methods: A retrospective study was conducted to analyze the clinical data of children with monosymptomatic nocturnal enuresis who have visited our urology clinic from January to December 2019. All patients received desmopressin treatment. Final treatment outcomes were categorized as successful (complete response) or failed (absent and partial response). The relationship between winter season and treatment response to desmopressin was evaluated. Additionally, associated risk factors were investigated with both univariate and multivariate regression analysis. Results: In total, 393 patients diagnosed with MNE were included in the present study. There were no statistically significant differences in pretreatment variables at first visit between patients who visited the clinic in winter and those who did so in other seasons. However, the treatment failure rate of MNE in the winter season was higher than that of other seasons (77.50% vs. 52.74%). Multivariate logistic regression analysis demonstrated that the severity of symptoms and an initial clinic visit in the winter season were significantly related to desmopressin treatment failure in MNE patients. Conclusion: Winter season and severity of symptoms are two risk factors associated with desmopressin treatment failure in MNE patients.
first_indexed 2024-12-13T15:13:57Z
format Article
id doaj.art-aad0bb8f890c413ea4e80853772bcc1a
institution Directory Open Access Journal
issn 1677-6119
language English
last_indexed 2024-12-13T15:13:57Z
publishDate 2022-03-01
publisher Sociedade Brasileira de Urologia
record_format Article
series International Brazilian Journal of Urology
spelling doaj.art-aad0bb8f890c413ea4e80853772bcc1a2022-12-21T23:40:47ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-61192022-03-0148227528110.1590/s1677-5538.ibju.2021.0236Association between winter season and desmopressin treatment efficiency in children with monosymptomatic nocturnal enuresis: a pilot studyMengkui SunShoulin Lihttps://orcid.org/0000-0001-6914-4481Xuerui SunZhimei DengYanan XuABSTRACT Objectives: The purpose of our study was to assess the association between the winter season and desmopressin treatment failure in South Chinese children with monosymptomatic nocturnal enuresis (MNE). Materials and Methods: A retrospective study was conducted to analyze the clinical data of children with monosymptomatic nocturnal enuresis who have visited our urology clinic from January to December 2019. All patients received desmopressin treatment. Final treatment outcomes were categorized as successful (complete response) or failed (absent and partial response). The relationship between winter season and treatment response to desmopressin was evaluated. Additionally, associated risk factors were investigated with both univariate and multivariate regression analysis. Results: In total, 393 patients diagnosed with MNE were included in the present study. There were no statistically significant differences in pretreatment variables at first visit between patients who visited the clinic in winter and those who did so in other seasons. However, the treatment failure rate of MNE in the winter season was higher than that of other seasons (77.50% vs. 52.74%). Multivariate logistic regression analysis demonstrated that the severity of symptoms and an initial clinic visit in the winter season were significantly related to desmopressin treatment failure in MNE patients. Conclusion: Winter season and severity of symptoms are two risk factors associated with desmopressin treatment failure in MNE patients.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382022000200275&tlng=enNocturnal EnuresisTreatment FailureChild
spellingShingle Mengkui Sun
Shoulin Li
Xuerui Sun
Zhimei Deng
Yanan Xu
Association between winter season and desmopressin treatment efficiency in children with monosymptomatic nocturnal enuresis: a pilot study
International Brazilian Journal of Urology
Nocturnal Enuresis
Treatment Failure
Child
title Association between winter season and desmopressin treatment efficiency in children with monosymptomatic nocturnal enuresis: a pilot study
title_full Association between winter season and desmopressin treatment efficiency in children with monosymptomatic nocturnal enuresis: a pilot study
title_fullStr Association between winter season and desmopressin treatment efficiency in children with monosymptomatic nocturnal enuresis: a pilot study
title_full_unstemmed Association between winter season and desmopressin treatment efficiency in children with monosymptomatic nocturnal enuresis: a pilot study
title_short Association between winter season and desmopressin treatment efficiency in children with monosymptomatic nocturnal enuresis: a pilot study
title_sort association between winter season and desmopressin treatment efficiency in children with monosymptomatic nocturnal enuresis a pilot study
topic Nocturnal Enuresis
Treatment Failure
Child
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382022000200275&tlng=en
work_keys_str_mv AT mengkuisun associationbetweenwinterseasonanddesmopressintreatmentefficiencyinchildrenwithmonosymptomaticnocturnalenuresisapilotstudy
AT shoulinli associationbetweenwinterseasonanddesmopressintreatmentefficiencyinchildrenwithmonosymptomaticnocturnalenuresisapilotstudy
AT xueruisun associationbetweenwinterseasonanddesmopressintreatmentefficiencyinchildrenwithmonosymptomaticnocturnalenuresisapilotstudy
AT zhimeideng associationbetweenwinterseasonanddesmopressintreatmentefficiencyinchildrenwithmonosymptomaticnocturnalenuresisapilotstudy
AT yananxu associationbetweenwinterseasonanddesmopressintreatmentefficiencyinchildrenwithmonosymptomaticnocturnalenuresisapilotstudy