ArticleInternational braz j urol : official journal of the Brazilian Society of Urology
Enuresis and upper airway obstruction: BNP and ADH hormones behavior before and after airway surgery.
Article in International braz j urol : official journal of the Brazilian Society of Urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.
- The effectiveness of parasacral transcutaneous electrical nerve stimulation in the treatment of monosymptomatic enuresis in children and adolescents: a systematic review.International braz j urol : official journal of the Brazilian Society of UrologyPooled it
- Relationship Between Obstructive Sleep Apnea and Enuresis in Children: Current Perspectives and Beyond.Nature and science of sleep · 2025Review
- Primary monosymptomatic nocturnal enuresis highlighted in this number of International Brazilian Journal of Urology.International braz j urol : official journal of the Brazilian Society of UrologyArticle
- Weak clinical effect of airway clearance on ADH and BNP concentration: mechanism or data collection BIAS.International braz j urol : official journal of the Brazilian Society of UrologyArticle
- Treating asthma in patients with enuresis: repercussions on urinary symptoms.International braz j urol : official journal of the Brazilian Society of UrologyArticle
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6 authors at 1 institution in 1 country.
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Abstract
introductionUpper airway obstruction (UAO) is a common condition in all pediatric population, with a 27% prevalence. Primary monosymptomatic nocturnal enuresis (PMNE) is a condition related to UAO in 8% to 47% of these children. The specific pathophysiological mechanism of this bond is not well understood. Some authors suggest a connection between brain natrituretic peptide (BNP) and anti-diuretic hormone (ADH) during sleep. The aim of this study was to evaluate hormone profile (ADH and BNP) and improvement in dry nights in a sample of children before and after surgical treatment of the UAO.
methodsThis is a longitudinal prospective interventionist study in children, 5 to 14 years of age, with UAO and PMNE recruited in a specialty outpatient clinic. Children presenting UAO and PMNE were evaluated with a 30-day dry night diary and blood samples were collected to evaluate ADH and BNP before and after upper airway surgery. Data were analyzed prior to surgery and 90-120 days after surgery.
resultsTwenty-one children with a mean age of 9.7 years were included. Mean BNP before surgery was 116.5 ± 126.5 pg/mL and 156.2 ± 112.3 pg/mL after surgery (p<0.01). Mean ADH was 5.8 ± 3.2 pg/mL and 14.6 ± 35.4 before and after surgery, respectively (p=0.26). The percentage of dry nights went from 32.3 ± 24.7 before surgery to 75.4 ± 33.4 after surgery (p˂0.01).
conclusionSurgery for airway obstruction contributed to an increase in BNP without increasing ADH. A total of 85.8% of the children presented partial or complete improvement of their enuresis.
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