Tonsils ablation could cure bedwetting in some children with apnea sleep

 half of the children with sleep apnea who wet the bed could stop their UI if their tonsils or sleep is removed, new research suggests.

Obstructive apnea (OSA) sleep is marked by interruptions of respiration; during his sleep It is common among children with enlarged tonsils or sleep. Exactly how the results in the bedwetting sleep apnea is not fully understood, but hormonal changes may play a role.

However, half of the 417 children in this latest study, which had the sleep apnea and who were arrested bedwetters bed wetting after they had their tonsils or deleted sleep. In the study, the children were aged 5 to 18 years and were followed for only less than a year after their surgery on average.

Those that did not prevent bed wetting after surgery were more likely to be born prematurely, be men, being obese or have a family history of bedwetting, the investigators noted. Premature birth was the best index prediction of continuous UI after surgery.

"If they have not seen an ear, ENT specialist, see one to see if the child anchored bed OSA that can be cured by the tonsils or Mucoepidermoid removal," said study author Dr. Yegappan Lakshmanan, head of the Pediatric Urology of the Michigan children's Hospital, in Detroit.

The findings were presented Monday at the annual meeting of the American Urological Association (AUA), in Washington, D.C. presented research at medical meetings should be regarded as preliminary in until it was published in a peer medical journal.

There are many other causes of bedwetting, said Lakshmanan. "5 To 7 million children are bedwetters, and causes of the fall into three main groups: issues of the bladder, problems related to sleep, and kidneys,"he explained.""Children in this study wet the bed sleep-related problems. ?

Then why were not all cure? "Nocturnal enuresis is multifactor even these groups and that we should be able to determine the cause of all children", said Lakshmanan.

"There are several possible causes of bedwetting, and sleep apnea is clearly one of them," said Dr. Lane s. Palmer, Chief of Pediatric Urology Medical Center the MCH Cohen again of Hyde Park, New York

"There are positive effects of this surgery tonsils - or adenoid-deletion, but I don't know that I leap tonsils or sleep out of my child as a primary treatment of bedwetting," he said. "Children with sleep apnea and UI should see an otorhinolaryngologist first."

"This study really points to the fact that children who have other sleep problems should be considered for UI because all that is fall sleep at night can lead to bedwetting," said the spokesman for the AAU Dr. Anthony Atalaa urologist at Wake Forest University in Winston - SalemN BW.

"If a child bedwetting, pay attention to their sleep habits and to observe, while they are asleep, and you can see if they breathe at a steady pace and otherwise, seek additional aid," said Atala.

Children with sleep apnea can be difficult to rouse, which can cause bedwetting, said Dr. Dennis Kitsko, an Otolaryngologist at children's Hospital of Pittsburgh. "But not all children with sleep apnea will wet the bed, and not all are bedwetter will sleep apnea".

Still, "snoring in children is abnormal, said Dr. Linda Dahl, an ear doctor ENT at Lenox Hill Hospital in New York." "" "Broaden children snore because their tonsils and sleep, and they have other behaviors that go with apnea sleep, including bedwetting, eventually", she explained.

"There are many ancillary benefits that you may not attribute to the removal of tonsils grand and sleep, as stop bedwetting," Dahl said.