Энурез в детстве и клиническое течение гиперактивного мочевого пузыря у женщин
Энурез в детстве и клиническое течение гиперактивного мочевого пузыря у женщин
Кузьмин И.В., Слесаревская М.Н., Аль-Шукри С.Х. Энурез в детстве и клиническое течение гиперактивного мочевого пузыря у женщин. Consilium Medicum. 2024;26(7):432–436. DOI: 10.26442/20751753.2024.7.202899
Kuzmin IV, Slesarevskaya MN, Al-Shukri SKh. Childhood nocturnal enuresis and clinical course of overactive bladder in women. Consilium Medicum. 2024;26(7):432–436. DOI: 10.26442/20751753.2024.7.202899
Энурез в детстве и клиническое течение гиперактивного мочевого пузыря у женщин
Кузьмин И.В., Слесаревская М.Н., Аль-Шукри С.Х. Энурез в детстве и клиническое течение гиперактивного мочевого пузыря у женщин. Consilium Medicum. 2024;26(7):432–436. DOI: 10.26442/20751753.2024.7.202899
Kuzmin IV, Slesarevskaya MN, Al-Shukri SKh. Childhood nocturnal enuresis and clinical course of overactive bladder in women. Consilium Medicum. 2024;26(7):432–436. DOI: 10.26442/20751753.2024.7.202899
Обоснование. Гиперактивный мочевой пузырь (ГМП) и энурез – одни из самых частых причин нарушения мочеиспускания соответственно у взрослых и детей. Факторы патогенеза ГМП и энуреза во многом совпадают. Среди взрослых с ГМП большая доля пациентов с энурезом в анамнезе. Цель. Изучить особенности клинического течения ГМП у женщин с энурезом в детстве. Материалы и методы. В исследование включены 212 женщин с ГМП (средний возраст 54,1±0,8 года), которые в зависимости от наличия энуреза в детстве были разделены на 2 группы. В 1-ю группу включена 41 (19,3%) больная с энурезом в детстве, во 2-ю группу – 171 (80,7%) женщина без энуреза в анамнезе. Всем больным выполняли комплексное уродинамические исследование. Результаты. Выраженность клинических симптомов ГМП не различалась у больных 1 и 2-й групп. Предикторами более тяжелого клинического течения ГМП и большей вероятности развития ургентного недержания мочи были наличие немоносимптомной формы энуреза и возраст прекращения энуреза 10 лет и старше. У женщин из 1-й группы также отмечена большая частота выявления детрузорной гиперактивности по сравнению со 2-й группой (29,3% vs 10,5%). Заключение. Результаты проведенного исследования свидетельствуют о наличии связи между энурезом в детстве и клиническим течением ГМП у взрослых женщин.
Background. Overactive bladder (OAB) and nocturnal enuresis are among the most common causes of urinary dysfunction in adults and children, respectively. The pathogenesis factors of OAB and nocturnal enuresis largely coincide. Among adults with OAB, a large proportion of patients have a history of nocturnal enuresis. Aim. To study the features of the clinical course of OAB in women with childhood nocturnal enuresis. Materials and methods. The study included 212 women with OAB (mean age 54.1±0.8 years), who were divided into two groups depending on the presence of the history of childhood nocturnal enuresis. Group 1 included 41 (19.3%) patients with childhood nocturnal enuresis, group 2 included 171 (80.7%) women without a history of childhood nocturnal enuresis. All patients underwent a comprehensive urodynamic study. Results. The severity of clinical symptoms of OAB did not differ between patients of groups 1 and 2. Predictors of a more severe clinical course of OAB and a greater likelihood of developing urge incontinence were the presence of a non-monosymptomatic form of enuresis and an age of cessation of enuresis of 10 years or older. Women from group 1 also showed a higher incidence of detrusor overactivity compared to group 2 (29.3% vs 10.5%). Conclusion. The results of the study indicate a connection between childhood nocturnal enuresis and the clinical course of OAB in adult women.
1. Abrams P, Cardozo L, Fall M, et al. The standartisation of terminology in lower urinary tract function: Report from the standartisation sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21(2):167-78. DOI:10.1002/nau.10052
2. Кузьмин И.В. Эпидемиологические аспекты гиперактивного мочевого пузыря и ургентного недержания мочи. Урологические ведомости. 2015;5(3):30-4 [Kuzmin IV. Epidemiological aspects of overactive bladder and urge urinary incontinence. Urologicheskie vedomosti. 2015;5(3):30-4 (in Russian)]. DOI:10.17816/uroved5330-3
3. Слесаревская М.Н., Игнашов Ю.А., Кузьмин И.В., Аль-Шукри С.Х. Стойкая дизурия у женщин: этиологическая диагностика и лечение. Урологические ведомости. 2021;11(3):195-204 [Slesarevskaya MN, Ignashov YA, Kuzmin IV, Al-Shukri SK. Persistent dysuria in women: etiological diagnostics and treatment. Urology Reports (St.-Petersburg). 2021;11(3):195-204 (in Russian)]. DOI:10.17816/uroved81948
4. Peyronnet B, Mironska E, Chapple C, et al. A Comprehensive Review of Overactive Bladder Pathophysiology: On the Way to Tailored Treatment. Eur Urol. 2019;75(6):988-1000. DOI:10.1016/j.eururo.2019.02.03
5. Jørgensen CS, Horsdal HT, Rajagopal VM, et al. Identification of genetic loci associated with nocturnal enuresis: a genome-wide association study. Lancet Child Adolesc Health. 2021;5(3):201-9. DOI:10.1016/S2352-4642(20)30350-3
6. Nevéus T, von Gontard A, Hoebeke P, et al. The standardization of terminology of lower urinary tract function in children and adolescents: report from the Standardisation Committee of the International Children's Continence Society. J Urol. 2006;176:314-24.
7. Никитин С.С., Гусева Н.Б., Колодяжная А.В., и др. Enuresis nocturna у детей и подростков: обзор современной литературы и перспективы лечения с использованием десмопрессина. Педиатрия им. Г.Н. Сперанского. 2020;99(3):265-27 [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. G.N. Speransky. 2020;99(3):265-70 (in Russian)]. DOI:10.24110/0031-403X-2020-99-3-265-270
8. 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
9. Кузьмин И.В. Первичный энурез у взрослых: патогенез, клиническое течение и современные подходы к лечению. Consilium Medicum. 2022;24(10):753-8 [Kuzmin IV. Primary enuresis in adults: pathogenesis, clinical course and modern approaches to treatment: A review. Consilium Medicum. 2022;24(10):753-58 (in Russian)]. DOI:10.26442/20751753.2022.10.201947
10. Смирнова Н.Н., Белякова А.В., Куприенко Н.Б., Никольская Т.И. Ночной энурез – новый взгляд на старую проблему. Урологические ведомости. 2022;12(4):347-56 [Smirnova NN, Belyakova AV, Kuprienko NB, Nikolskaya TI. Nocturnal enuresis – a new look at the old problem. Urology Reports (St.-Petersburg). 2022;12(4):347-56 (in Russian)]. DOI:10.17816/uroved112569
11. Rosier PFWM, Schaefer W, Lose G, et al. International Continence Society Good Urodynamic Practices and Terms 2016: Urodynamics, uroflowmetry, cystometry, and pressure-flow study. Neurourol Urodyn. 2017;36(5):1243-60. DOI:10.1002/nau.23124
12. Negoro H, Fukunaga A, Setoh K, et al.; Nagahama Study Group. Medical history of nocturnal enuresis during school age is an independent risk factor for nocturia in adults: The Nagahama study. Neurourol Urodyn. 2021;40(1):326-33. DOI:10.1002/nau.24562
13. Gong S, Khosla L, Gong F, et al. Transition from Childhood Nocturnal Enuresis to Adult Nocturia: A Systematic Review and Meta-Analysis. Res Rep Urol. 2021;13:823-32. DOI:10.2147/RRU.S302843
14. Kang BJ, Chung JM, Lee SD. Evaluation of Functional Bladder Capacity in Children with Nocturnal Enuresis According to Type and Treatment Outcome. Res Rep Urol. 2020;12:383-9. DOI:10.2147/RRU.S267417
15. Ciftci H, Savas M, Altunkol A, et al. The Relations between Enuresis in Childhood and Nocturnal Polyuria Syndrome in Adult Life. Int Neurourol J. 2012;16(1):37-40. DOI:10.5213/inj.2012.16.1.37
16. Foldspang A, Mommsen S. Adult female urinary incontinence and childhood bedwetting. J Urol. 1994;152(1):85-8. DOI:10.1016/s0022-5347(17)32823-9
17. Fitzgerald MP, Thom DH, Wassel-Fyr C, et al.; Reproductive Risks for Incontinence Study at Kaiser Research Group. Childhood urinary symptoms predict adult overactive bladder symptoms. J Urol. 2006;175(3 Pt. 1):989-93. DOI:10.1016/S0022-5347(05)00416-7
18. Goessaert AS, Schoenaers B, Opdenakker O, et al. Long-term followup of children with nocturnal enuresis: increased frequency of nocturia in adulthood. J Urol. 2014;191(6):1866-70. DOI:10.1016/j.juro.2013.12.051
19. Miyazato M, Gakiya M, Ashikari A, et al. Evaluation of the Influence of a History of Childhood Nocturnal Enuresis on Nighttime Urinary Frequency and the Causes of Nocturia in Adults. Urology. 2022;164:106-11. DOI:10.1016/j.urology.2022.01.007
20. Akashi S, Tomita K. The impact of a history of childhood nocturnal enuresis on adult nocturia and urgency. Acta Paediatr. 2014;103(9):e410-5. DOI:10.1111/apa.1269
21. Kuh D, Cardozo L, Hardy R. Urinary incontinence in middle aged women: childhood enuresis and other lifetime risk factors in a British prospective cohort. J Epidemiol Community Health. 1999;53(8):453-8. DOI:10.1136/jech.53.8.453
22. Moore KH, Richmond DH, Parys BT. Sex distribution of adult idiopathic detrusor instability in relation to childhood bedwetting. Br J Urol. 1991;68(5):479-82.
DOI:10.1111/j.1464-410x.1991.tb15389.x
23. Camões J, Coelho A, Castro-Diaz D, Cruz F. Lower urinary tract symptoms and aging: the impact of chronic bladder ischemia on overactive bladder syndrome. Urol Int. 2015;95(4):373-9. DOI:10.1159/000437336
24. Birder LA, Wolf-Johnston AS, Jackson EK, et al. Aging increases the expression of vasopressin receptors in both the kidney and urinary bladder. Neurourol Urodyn. 2019;38(1):393-7. DOI:10.1002/nau.23830
25. Шорманов И.С., Соловьев А.С., Тюзиков И.А., Куликов С.В. Анатомо-физиологические и патофизиологические особенности нижних мочевых путей в гендерном и возрастном аспектах. Урологические ведомости. 2021;11(3):241-56 [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
26. Кузьмин И.В., Слесаревская М.Н., Ромих В.В. Гиперактивный мочевой пузырь, воспаление и инфекция мочевыводящих путей: патогенетические параллели. Урологические ведомости. 2024;14(1):65-79 [Kuzmin IV, Slesarevskaya MN, Romikh VV. Overactive bladder, inflammation and urinary tract infection: pathogenetic parallels. Urology reports (St.-Petersburg). 2024;14(1):65-79 (in Russian)]. DOI:10.17816/uroved627461
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1. Abrams P, Cardozo L, Fall M, et al. The standartisation of terminology in lower urinary tract function: Report from the standartisation sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21(2):167-78. DOI:10.1002/nau.10052
2. Kuzmin IV. Epidemiological aspects of overactive bladder and urge urinary incontinence. Urologicheskie vedomosti. 2015;5(3):30-4 (in Russian). DOI:10.17816/uroved5330-3
3. Slesarevskaya MN, Ignashov YA, Kuzmin IV, Al-Shukri SK. Persistent dysuria in women: etiological diagnostics and treatment. Urology Reports (St.-Petersburg). 2021;11(3):195-204 (in Russian). DOI:10.17816/uroved81948
4. Peyronnet B, Mironska E, Chapple C, et al. A Comprehensive Review of Overactive Bladder Pathophysiology: On the Way to Tailored Treatment. Eur Urol. 2019;75(6):988-1000. DOI:10.1016/j.eururo.2019.02.03
5. Jørgensen CS, Horsdal HT, Rajagopal VM, et al. Identification of genetic loci associated with nocturnal enuresis: a genome-wide association study. Lancet Child Adolesc Health. 2021;5(3):201-9. DOI:10.1016/S2352-4642(20)30350-3
6. Nevéus T, von Gontard A, Hoebeke P, et al. The standardization of terminology of lower urinary tract function in children and adolescents: report from the Standardisation Committee of the International Children's Continence Society. J Urol. 2006;176:314-24.
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. G.N. Speransky. 2020;99(3):265-70 (in Russian). DOI:10.24110/0031-403X-2020-99-3-265-270
8. 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
9. Kuzmin IV. Primary enuresis in adults: pathogenesis, clinical course and modern approaches to treatment: A review. Consilium Medicum. 2022;24(10):753-58 (in Russian). DOI:10.26442/20751753.2022.10.201947
10. Smirnova NN, Belyakova AV, Kuprienko NB, Nikolskaya TI. Nocturnal enuresis – a new look at the old problem. Urology Reports (St.-Petersburg). 2022;12(4):347-56 (in Russian). DOI:10.17816/uroved112569
11. Rosier PFWM, Schaefer W, Lose G, et al. International Continence Society Good Urodynamic Practices and Terms 2016: Urodynamics, uroflowmetry, cystometry, and pressure-flow study. Neurourol Urodyn. 2017;36(5):1243-60. DOI:10.1002/nau.23124
12. Negoro H, Fukunaga A, Setoh K, et al.; Nagahama Study Group. Medical history of nocturnal enuresis during school age is an independent risk factor for nocturia in adults: The Nagahama study. Neurourol Urodyn. 2021;40(1):326-33. DOI:10.1002/nau.24562
13. Gong S, Khosla L, Gong F, et al. Transition from Childhood Nocturnal Enuresis to Adult Nocturia: A Systematic Review and Meta-Analysis. Res Rep Urol. 2021;13:823-32. DOI:10.2147/RRU.S302843
14. Kang BJ, Chung JM, Lee SD. Evaluation of Functional Bladder Capacity in Children with Nocturnal Enuresis According to Type and Treatment Outcome. Res Rep Urol. 2020;12:383-9. DOI:10.2147/RRU.S267417
15. Ciftci H, Savas M, Altunkol A, et al. The Relations between Enuresis in Childhood and Nocturnal Polyuria Syndrome in Adult Life. Int Neurourol J. 2012;16(1):37-40. DOI:10.5213/inj.2012.16.1.37
16. Foldspang A, Mommsen S. Adult female urinary incontinence and childhood bedwetting. J Urol. 1994;152(1):85-8. DOI:10.1016/s0022-5347(17)32823-9
17. Fitzgerald MP, Thom DH, Wassel-Fyr C, et al.; Reproductive Risks for Incontinence Study at Kaiser Research Group. Childhood urinary symptoms predict adult overactive bladder symptoms. J Urol. 2006;175(3 Pt. 1):989-93. DOI:10.1016/S0022-5347(05)00416-7
18. Goessaert AS, Schoenaers B, Opdenakker O, et al. Long-term followup of children with nocturnal enuresis: increased frequency of nocturia in adulthood. J Urol. 2014;191(6):1866-70. DOI:10.1016/j.juro.2013.12.051
19. Miyazato M, Gakiya M, Ashikari A, et al. Evaluation of the Influence of a History of Childhood Nocturnal Enuresis on Nighttime Urinary Frequency and the Causes of Nocturia in Adults. Urology. 2022;164:106-11. DOI:10.1016/j.urology.2022.01.007
20. Akashi S, Tomita K. The impact of a history of childhood nocturnal enuresis on adult nocturia and urgency. Acta Paediatr. 2014;103(9):e410-5. DOI:10.1111/apa.1269
21. Kuh D, Cardozo L, Hardy R. Urinary incontinence in middle aged women: childhood enuresis and other lifetime risk factors in a British prospective cohort. J Epidemiol Community Health. 1999;53(8):453-8. DOI:10.1136/jech.53.8.453
22. Moore KH, Richmond DH, Parys BT. Sex distribution of adult idiopathic detrusor instability in relation to childhood bedwetting. Br J Urol. 1991;68(5):479-82.
DOI:10.1111/j.1464-410x.1991.tb15389.x
23. Camões J, Coelho A, Castro-Diaz D, Cruz F. Lower urinary tract symptoms and aging: the impact of chronic bladder ischemia on overactive bladder syndrome. Urol Int. 2015;95(4):373-9. DOI:10.1159/000437336
24. Birder LA, Wolf-Johnston AS, Jackson EK, et al. Aging increases the expression of vasopressin receptors in both the kidney and urinary bladder. Neurourol Urodyn. 2019;38(1):393-7. DOI:10.1002/nau.23830
25. 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
26. Kuzmin IV, Slesarevskaya MN, Romikh VV. Overactive bladder, inflammation and urinary tract infection: pathogenetic parallels. Urology reports (St.-Petersburg). 2024;14(1):65-79 (in Russian). DOI:10.17816/uroved627461
Авторы
И.В. Кузьмин*, М.Н. Слесаревская, С.Х. Аль-Шукри
ФГБОУ ВО «Первый Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова» Минздрава России, Санкт-Петербург, Россия
*kuzminigor@mail.ru
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Igor V. Kuzmin*, Margarita N. Slesarevskaya, Salman Kh. Al-Shukri
Pavlov First Saint Petersburg State Medical University, Saint Petersburg, Russia
*kuzminigor@mail.ru