Первичный энурез у взрослых: патогенез, клиническое течение и современные подходы к лечению
Первичный энурез у взрослых: патогенез, клиническое течение и современные подходы к лечению
Кузьмин И.В. Первичный энурез у взрослых: патогенез, клиническое течение и современные подходы к лечению. Consilium Medicum. 2022;24(10):753–758. DOI: 10.26442/20751753.2022.10.201947
Kuzmin IV. Primary enuresis in adults: pathogenesis, clinical course and modern approaches to treatment: A review. Consilium Medicum. 2022;24(10):753–758. DOI: 10.26442/20751753.2022.10.201947
Первичный энурез у взрослых: патогенез, клиническое течение и современные подходы к лечению
Кузьмин И.В. Первичный энурез у взрослых: патогенез, клиническое течение и современные подходы к лечению. Consilium Medicum. 2022;24(10):753–758. DOI: 10.26442/20751753.2022.10.201947
Kuzmin IV. Primary enuresis in adults: pathogenesis, clinical course and modern approaches to treatment: A review. Consilium Medicum. 2022;24(10):753–758. DOI: 10.26442/20751753.2022.10.201947
В обзорной статье приведены современные данные относительно эпидемиологии, классификации, патогенеза, факторов риска, диагностики, а также особенностей клинического течения первичного энуреза у взрослых. Подробно описаны основные методы лечения больных первичным энурезом. Показано, что при лечении данной категории больных ведущее значение придается применению синтетического аналога антидиуретического гормона десмопрессина. Представлен подробный анализ фармакологических свойств и клинического использования десмопрессина у больных первичным энурезом. Показаны преимущества назначения сублингвальной формы десмопрессина, обеспечивающей высокую эффективность и хорошую переносимость терапии.
The review article presents current data on the epidemiology, classification, pathogenesis, risk factors, diagnosis, and features of the clinical course of primary enuresis in adults. The main methods of treatment of patients with primary enuresis are described in detail. It has been shown that in the treatment of this category of patients, the leading role is given to the use of a synthetic analogue of the antidiuretic hormone desmopressin.
A detailed analysis of the pharmacological properties and clinical use of desmopressin in patients with primary enuresis is presented. The advantages of prescribing a sublingual form of desmopressin, which ensures its high efficiency and good tolerability of therapy.
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50. Проспективное открытое рандомизированное перекрестное исследование сравнительной фармакокинетики и биоэквивалентности препаратов Ноурем®, таблетки подъязычные 240 мкг (ЗАО «Канонфарма продакшн», Россия), и Минирин®, таблетки подъязычные 240 мкг («Ферринг АГ», Швейцария) у здоровых добровольцев после однократного приема натощак. Режим доступа: https://clinline.ru/reestr-klinicheskih-issledovanij/158-20.03.2017.html. Ссылка активна на 01.11.2022 [Prospektivnoe otkrytoe randomizirovannoe perekrestnoe issledovanie sravnitel'noi farmakokinetiki i bioekvivalentnosti preparatov Nourem®, tabletki pod"iazychnye 240 mkg (ZAO «Kanonfarma prodakshn», Rossiia) i Minirin®, tabletki pod"iazychnye 240 mkg («Ferring AG», Shveitsariia) u zdorovykh dobrovol'tsev posle odnokratnogo priema natoshchak Available at: https://clinline.ru/reestr-klinicheskih-issledovanij/158-20.03.2017.html. Accessed: 01.11.2022 (in Russian)].
51. Открытое рандомизированное перекрестное исследование сравнительной фармакокинетики и биоэквивалентности препаратов Ноурем® таблетки, 0,2 мг (ЗАО «Канонфарма Продакшн», Россия), и Минирин® таблетки, 0,2 мг («Ферринг АБ», Швеция). Режим доступа: https://clinline.ru/reestr-klinicheskih-issledovanij/906-23.04.2012.html. Ссылка активна на 01.11.2022 [Otkrytoe randomizirovannoe perekrestnoe issledovanie sravnitel'noi farmakokinetiki i bioekvivalentnosti preparatov Nourem® tabletki, 0,2 mg (ZAO «Kanonfarma Prodakshn», Rossiia), i Minirin® tabletki, 0,2 mg («Ferring AB», Shvetsiia). Available at: https://clinline.ru/reestr-klinicheskih-issledovanij/906-23.04.2012.html. Accessed: 01.11.2022 (in Russian)].
________________________________________________
1. Nevéus T, von Gontard A, Hoebeke P, et al. The Standardization of Terminology of Lower Urinary Tract Function in Children and Adolescents: Report fr om the Standardisation Committee of the International Children’s Continence Society. J Urol. 2006;176(1):314-24. DOI:10.1016/S0022-5347(06)00305-3
2. Sakamoto K, Blaivas JG. Adult onset nocturnal enuresis. J Urol. 2001;165(6Pt. 1):1914-7. DOI:10.1097/00005392-200106000-00017
3. Guseva NB, Nikitin SS, Korsunskiy AA, et al. Results of a multicenter study on the diagnosis of nonmonosymptomatic enuresis in children in various regions of the Russian Federation. Pediatria. 2019;98(2):107-12 (in Russian). DOI:10.24110/0031-403X-2019-98-2-107-112
4. Bakker E, van Sprundel M, van der Auwera JC, et al. Voiding habits and wetting in a population of 4,332 Belgian schoolchildren aged between 10 and 14 years. Scand J Urol Nephrol. 2002;36(5):354-62. DOI:10.1080/003655902320783863
5. Buckley BS, Lapitan MC. Prevalence of urinary and faecal incontinence and nocturnal enuresis and attitudes to treatment and help-seeking amongst a community-based representative sample of adults in the United Kingdom. Int J Clin Pract. 2009;63(4):568-73. DOI:10.1111/j.1742-1241.2008.01974.x
6. Yeung CK, Sihoe JD, Sit FK, et al. Characteristics of primary nocturnal enuresis in adults: an epidemiological study. BJU Int. 2004;93(3):341-5. DOI:10.1111/j.1464-410x.2003.04612.x
7. Nikitin SS, Guseva NB, Kolodyazhnaya AV, et al. Enuresis nocturna in children and adolescents: a review of contemporary literature and treatment perspectives using desmopressin. Pediatria n.a. GN. Speransky. 2020;99(3):265-70 (in Russian). DOI:10.24110/0031-403X-2020-99-3-265-270
8. Levine A. Enuresis in the navy. Am J Psychiatry. 1943;100:320-5.
9. Hirasing RA, van Leerdam FJ, Bolk-Bennink L, Janknegt RA. Enuresis nocturna in adults. Scand J Urol Nephrol. 1997;31(6):533-6. DOI:10.3109/00365599709030657
10. Baek M, Park K, Lee HE, et al. Korean Children's Continence and Enuresis Society. A nationwide epidemiological study of nocturnal enuresis in Korean adolescents and adults: population based cross sectional study. J Korean Med Sci. 2013;28(7):1065-70. DOI:10.3346/jkms.2013.28.7.1065
11. Campbell P, Li W, Money-Taylor J, et al. Nocturnal enuresis: prevalence and associated LUTS in adult women attending a urogynecology clinic. Int Urogynecol J. 2017;28:315-20. DOI:10.1007/s00192-016-3099-0
12. Howlett M, Gibson W, Hunter KF, et al. Nocturnal enuresis in older people: Wh ere is the evidence and what are the gaps? J Wound Ostomy Continence Nurs. 2016;43(4):401-6. DOI:10.1097/WON.0000000000000234
13. Niemczyk J, von Gontard A, Equit M, et al. Incontinence in persons with Down Syndrome. Neurourol Urodyn. 2017;36(6):1550-6. DOI:10.1002/nau.23146
14. Abeygunasekera AM, Goonesinghe SK. Nocturnal enuresis in adults. Curr Bladder Dysfunct Rep. 2013;8(3):217-22. DOI:10.1007/s11884-013-0193-8
15. Hillary CJ, Chapple C. The evaluation and treatment of adult nocturnal enuresis. Curr Bladder Dysfunct Rep. 2014;9(2):84-9. DOI:10.1007/s11884-014-0237-8
16. Akhavizadegan H, Locke JA, Stothers L, Kavanagh A. A comprehensive review of adult enuresis. Can Urol Assoc J. 2018;13(8):282-7. DOI:10.5489/cuaj.5485
17. Rittig S, Lassen Schaumburg H, Siggaard C, et al. The circadian defect in plasma vasopressin and urine output is related to desmopressin response and enuresis status in children with nocturnal enuresis. J Urol. 2008;179(6):2389-95. DOI:10.1016/j.juro.2008.01.171
18. Biryukova YeV, Shinkin MV. Central Diabetes Insipidus: Etiopathogenesis, Approaches to Diagnosis and Treatment. Effective Pharmacotherapy. 2021;17(26):38-48 (in Russian). DOI:10.33978/2307-3586-2021-17-26-38-48
19. Lose G, Mattiasson A, Walter S, et al. Clinical experiences with desmopressin for long-term treatment of nocturia. J Urol. 2004;172(3):1021-5. DOI:10.1097/01.ju.0000136203.76320.f6
20. Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003;61(1):37-49. DOI:10.1016/S0090-4295(02)02243-4
21. Chung E. Desmopressin and nocturnal voiding dysfunction: clinical evidence and safety profile in the treatment of nocturia. Expert Opin Pharmacother. 2018;19(3):291-8. DOI:10.1080/14656566.2018.1429406
22. Koo P, McCool FD, Hale L, et al. Association of obstructive sleep apnea risk factors with nocturnal enuresis in postmenopausal women. Menopause. 2016;23(2):175-82. DOI:10.1097/GME.0000000000000517
23. Shormanov IS, Solovyov AS, Tyuzikov IA, Kulikov SV. Anatomical, physiological and pathophysiological features of the lower urinary tract in gender and age aspects. Urology reports (St-Petersburg). 2021;11(3):241-56 (in Russian). DOI:10.17816/uroved70710
24. Shormanov IS, Kulikov SV, Solovyov AS. Features of compensatory and adaptive reactions of the vascular bed of the bladder of elderly and senile men with prostatic hyperplasia. Urology reports (St-Petersburg). 2022;12(2):127-35 (in Russian). DOI:10.17816/uroved108475
25. Abeygunasekera AM, Jayasinghe RJ, Duminda MT, et al. Significance of recent onset nocturnal enuresis in adult men: a prospective study. Ceylon Med J. 2004;49(3):79-81. DOI:10.4038/cmj.v49i3.3244
26. Madhu CK, Hashim H, Enki D, Drake MJ. Risk factors and functional abnormalities associated with adult onset secondary nocturnal enuresis in women. Neurourol Urodyn. 2017;36(1):188-91. DOI:10.1002/nau.22912
27. Kuz'min IV. Patogenez, klinicheskoe techenie i lechenie giperaktivnosti mochevogo puzyria: Dis. … d-ra med. nauk. Saint Petersburg, 2007 (in Russian).
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50. Prospektivnoe otkrytoe randomizirovannoe perekrestnoe issledovanie sravnitel'noi farmakokinetiki i bioekvivalentnosti preparatov Nourem®, tabletki pod"iazychnye 240 mkg (ZAO «Kanonfarma prodakshn», Rossiia) i Minirin®, tabletki pod"iazychnye 240 mkg («Ferring AG», Shveitsariia) u zdorovykh dobrovol'tsev posle odnokratnogo priema natoshchak Available at: https://clinline.ru/reestr-klinicheskih-issledovanij/158-20.03.2017.html. Accessed: 01.11.2022 (in Russian).
51. Otkrytoe randomizirovannoe perekrestnoe issledovanie sravnitel'noi farmakokinetiki i bioekvivalentnosti preparatov Nourem® tabletki, 0,2 mg (ZAO «Kanonfarma Prodakshn», Rossiia), i Minirin® tabletki, 0,2 mg («Ferring AB», Shvetsiia). Available at: https://clinline.ru/reestr-klinicheskih-issledovanij/906-23.04.2012.html. Accessed: 01.11.2022 (in Russian).
Авторы
И.В. Кузьмин*
ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова» Минздрава России, Санкт-Петербург, Россия
*kuzminigor@mail.ru
________________________________________________
Igor V. Kuzmin*
Pavlov First Saint Petersburg State Medical University, Saint Petersburg, Russia
*kuzminigor@mail.ru