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Iranian Journal of Otorhinolaryngology، جلد ۲۵، شماره ۱، صفحات ۳۷-۴۰
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عنوان انگلیسی The Effect of Adenotonsillectomy on Pediatric Nocturnal Enuresis: a Prospective Cohort Study
چکیده انگلیسی مقاله Introduction: Sleep disorder caused by adenotonsillar hypertrophy has been implicated as a cause of primary and secondary nocturnal enuresis in children. This study was conducted to investigate the effect of adenotonsillectomy on enuresis in children with adenotonsillar hypertrophy. Materials and Methods: This prospective cohort study was conducted in Hamadan City in Western Iran, from April 2010 to December 2011. Ninety-seven children aged 3 to 12 years with adenotonsillar hypertrophy who were admitted to Besat Hospital for adenotonsillectomy were evaluated. The primary outcome was the number of incidents of bedwetting (nocturnal enuresis) post-operation compared with pre-operation. Patients were followed-up for 3 months. Data were collected using a questionnaire regarding number of bedwetting incidents, type of enuresis (primary or secondary), and family history of enuresis, as well as results of urine analysis. Results: Of 420 children admitted for adenotonsillectomy, 97 had a positive history of preoperative enuresis, including 42 girls and 55 boys, with mean age of 48 months. The parents of 84 (86.6%) children agreed to participate in the study. Three months after adenotonsillectomy, enuresis had resolved completely in 51 (60.7%) children and had shown relative improvement in 22 (26.2%) children. Enuresis had not improved in the remaining 11 (13.1%) children (P< 0.001). Conclusion: The results of this study indicate that adenotonsillectomy can improve enuresis in the majority of children with adenotonsillar hypertrophy. However, further evidence based on large multi-center randomized clinical trials is required to confirm these results.
کلیدواژه‌های انگلیسی مقاله Adenoids, Hypertrophy, Cohort studies, Enuresis, Iran
نویسندگان مقاله محمد سعید احمدی | mohammad saeed ahmadi
department of otolaryngology amp;amp; head and neck surgery, school of medicine, hamadan university of medical sciences, hamadan, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی همدان (Hamadan university of medical sciences)

شهریار امیرحسنی | shahriar amirhassani
department of urology, school of medicine, hamadan university of medical sciences, hamadan, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی همدان (Hamadan university of medical sciences)

جلال پورالعجل | jalal poorolajal
research center for health sciences , department of epidemiology amp;amp; biostatistics, school of public health, hamadan university of medical sciences, hamadan, iran.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی همدان (Hamadan university of medical sciences)

نشانی اینترنتی http://ijorl.mums.ac.ir/article_65.html
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