J Korean Med Sci.  2013 Jul;28(7):1065-1070. 10.3346/jkms.2013.28.7.1065.

A Nationwide Epidemiological Study of Nocturnal Enuresis in Korean Adolescents and Adults: Population Based Cross Sectional Study

Affiliations
  • 1Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 2Department of Urology, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea.
  • 3Department of Pediatrics, Eul-Ji University School of Medicine, Daejeon, Korea.
  • 4Department of Urology, Incheon St. Mary's Hospital, The Catholic University of Korea, Incheon, Korea.
  • 5Department of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
  • 6Department of Urology, Pusan National University School of Medicine, Busan, Korea.
  • 7Department of Pediatrics, Ajou University School of Medicine, Suwon, Korea.
  • 8Department of Urology, Yonsei University College of Medicine, Seoul, Korea.
  • 9Department of Pediatrics, College of Medicine, Yeungnam University, Daegu, Korea.
  • 10Department of Urology, Chung-Ang University College of Medicine, Seoul, Korea. kim14141@hanafos.com

Abstract

We performed a nationwide epidemiological study to evaluate the prevalence and characteristics of nocturnal enuresis (NE) in Korean adolescents and adults. A questionnaire was sent via e-mail to 51,073 people aged 16-40 yr by stratified sampling according to age, sex, and region among a 200,000 internet survey panel pool. The questionnaire included following information; presence or absence of NE, frequency of NE, possible risk factors for NE, self-esteem scale score and depression score results, and measures for the treatment of NE. Among the 2,117 responders, 54 (2.6%) had NE (> or =1 enuretic episode within 6 months). Of 54 bedwetters, 9.3% wet > or =1 night per week and 20.5% wet > or =1 per month. The prevalence rates remained relatively stable with no apparent trend of reduction with age. The presence of sleep disturbance, family history, urgency, or urge incontinence increased the probability of NE episode significantly. The self-esteem score was lower (P=0.053) and the depression scale score was higher (P=0.003) in bedwetters compared with non-bedwetters. Overall 2.6% of Korean aged 16-40 yr have NE. The higher rate of urgency and urge incontinence in adolescent and adult enuretics suggests that bladder function has an important role in adolescent and adult NE.

Keyword

Enuresis; Epidemiologic Studies; Adolescent; Adult; Urinary Incontinence

MeSH Terms

Adolescent
Adult
Cross-Sectional Studies
Female
Humans
Male
Nocturnal Enuresis/*epidemiology
Prevalence
Questionnaires
Republic of Korea/epidemiology
Risk Factors
Sleep Disorders
Urinary Incontinence/epidemiology
Young Adult

Cited by  1 articles

Current management scheme of nocturnal enuresis
Kwanjin Park
J Korean Med Assoc. 2017;60(10):790-791.    doi: 10.5124/jkma.2017.60.10.790.


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