Sodium fraction excretion rate in nocturnal enuresis correlates with nocturnal polyuria and osmolality

Gabriella Aceto, Rosa Penza, Maurizio Delvecchio, Maria Laura Chiozza, Marcello Cimador, Paolo Caione

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: We verify the sodium fraction excretion rate (FE Na) and potassium fraction excretion (FE K) rates in monosymptomatic nocturnal enuresis. We also correlate FE Na and FE K to urinary osmolality, nocturnal polyuria and vasopressin in the same population. Materials and Methods: A total of 438 children 6 to 15 years old (mean age 9.7) presenting with monosymptomatic nocturnal enuresis were recruited from different centers. Inclusion criteria were 3 or greater wet nights a week, no daytime incontinence and no treatment in the previous 2 months. Exclusion criteria were cardiopathy, endocrinopathy, psychiatric problems and urinary tract abnormalities. Micturition chart, diurnal (8 am to 8 pm) and nocturnal (8 pm to 8 am) urine collection, including separate diuresis volumes, (Na, K and Ca) electrolytes and osmolality were evaluated, as well as serum electrolytes, creatinine and nocturnal (4 am) vasopressin. Diurnal and nocturnal FE K and FE Na were calculated. ANOVA test, chi-square test, Student's t test and Pearson correlation test were used for statistical analysis. Results: Nocturnal polyuria (diurnal to nocturnal diuresis ratio less than 1) was found in 273 children (62.3%, group 1 and nocturnal urine volumes were normal in 165 with enuresis (37.7%, group 2). Nocturnal FE Na was abnormal in 179 children (40.8%), including 118 in group 1 (43.2%) and 61 in group 2 (36.9%) (chi-square not significant). FE Na was also increased in nocturnal versus daytime diuresis (Student's t test p

Original languageEnglish
Pages (from-to)2567-2570
Number of pages4
JournalJournal of Urology
Volume171
Issue number6 II
DOIs
Publication statusPublished - Jun 2004

Keywords

  • Desmopressin
  • Electrolytes
  • Enuresis
  • Polyuria
  • Vasopressins

ASJC Scopus subject areas

  • Urology

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