HealthDay News — Adenotonsillectomy for the treatment of pediatric obstructive sleep apnea (OSA) appears to also result in improvement in bedwetting, according to a study published online September 9 in JAMA Otolaryngology-Head & Neck Surgery.

Aaron Snow, from the Eastern Virginia Medical School in Norfolk, and colleagues compared outcomes for adenotonsillectomy vs watchful waiting in children with nonsevere OSA who experienced nocturnal enuresis (NE). The analysis included 393 children (51.1% were girls; mean age at baseline, 6.54 years).

The researchers found that the odds of NE in the watchful-waiting group were 2 times higher than in the adenotonsillectomy group after 7 months (odds ratio, 2.0; 95% CI, 1.3 to 3.1). However, following adenotonsillectomy, there was a decrease observed in the number of children with NE (−11.0%; 95% CI, −16.3 to −5.7%), while the prevalence of NE did not change significantly in the watchful-waiting group at follow-up (−0.5%; 95% CI, −5.4 to 6.4%). NE was less frequent in girls (adjusted odds ratio, 0.53; 95% CI, 0.33 to 0.85), but other clinical factors such as age, race and ethnicity, obesity, and apnea-hypopnea index were not associated with improvement of NE.

“It may be useful for clinicians to inquire about bedwetting in children with OSA and counsel caregivers regarding the benefit surgery may confer,” the authors write. “Further research is needed to compare NE outcomes in children managed with adenotonsillectomy versus behavioral modification and bedwetting alarm.”


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