Erişkinde ikincil enürezis nokturna: Bir olgu sunumu

Nokturnal enürezis (yatağı ıslatma) hem çocukları, hem de yetişkinleri etkileyen ve sık görülen kalıtımsal tıbbi bir durumdur. Yetişkinlerde nokturnal enürezisin yaygınlığını ortaya koyan az sayıda çalışma vardır. Yetişkinlerdeki yüksek orana karşın, nokturnal enürezisin bu populasyondaki tedavisinin etkinliğini gösteren çalışma sayısı azdır. Bu yazıda nişanlandıktan sonra ikincil enürezis nokturna gelişen ve bilişsel davranışçı yaklaşım ile “imipramin” tedavisine olumlu yanıt veren bir olgu sunmaktayız.

Secondary enuresis nocturna of adult: a case report

Nocturnal enuresis (bedwetting) is a common inherited medical condition affecting both children and adults. Limited number of studies has attempted to determine the prevalence of nocturnal enuresis in adults. Despite the magnitude of adults with nocturnal enuresis, few studies have assessed the effects of therapy in this population. We report a case that developed secondary enuresis nocturna after getting engaged and later showed significant improvement with combined cognitive behavioral approach and “imipramine” treatment.

___

  • 1. Harari MD, Moulden A. Nocturnal enuresis: What is happening? J Paediatr Child Health 2000; 36:78-81.
  • 2. Mikkelsen EJ. Elimination disorders. BJ Sadock, VA Sadock (eds), Comprehensive Textbook of Psychiatry, seventh ed., Philadelphia, Lippincott Williams & Wilkins, 2000, p.2720-2728.
  • 3. Wadworth ML. Persistent enuresis in adults. Am J Orthopsychiatry 1944; 14:313.
  • 4. Turner RK, Taylor PD. Conditioning treatment of nocturnal enuresis in adults: preliminary findings. Behav Res Ther 1974; 12:41-52.
  • 5. Cushing FC Jr, Baller WR. The problem of nocturnal enuresis in adults: special reference to managers and managerial aspirants. J Psychol 1975; 89:203-213.
  • 6. van Son M, van Heesch N, Mulder G, van Londen A. The effectiveness of dry bed training for nocturnal enuresis in adults: a 3,5,6 years follow-up. Behav Res Ther 1995; 33:557-559.
  • 7. Akdemir A, Örsel SD, Dağ İ, Türkçapar H, İşcan N, Özbay H. Clinical use and the reliability and validity of the Turkish version of the Hamilton Depression Rating Scale (in Turkish). 3P Dergisi 1996; 4:251-259.
  • 8. Yazıcı MK, Demir B, Tanrıverdi N, Karaağaoğlu E, Yolaç P. Hamilton Anxiety Rating Scale: interrater reliability and validity study (in Turkish). Türk Psikiyatri Dergisi 1998; 9:114-117.
  • 9. Von Gontard A, Lehmkuhl G. Enuresis nocturnaneu studies of genetic, pathophysiologic and psychiatric correlations. Prax Kinderpsychol Kinderpsychiatr 1997; 46:709-726.
  • 10. Hagglof B, Andren O, Bergstrom E, Marklund L, Wendelius M. Self-esteem in children with nocturnal enuresis and urinary incontinence: improvement of self-esteem after treatment. Eur Urol 1988; 33:16-19.
  • 11. Theunis M, Van Hoecke E, Paesbrugge S, Hoebeke P, Vande Walle J. Self-image and performance in children with nocturnal enuresis. Eur Urol 2002; 41:660-667.
  • 12. Yeung CK, Sihoe JD, Sit FK, Bower W, Sreedhar B, Lau J. Characteristics of primary nocturnal enuresis in adults: an epidemiological study. B J U Int 2004; 93:341-345.
  • 13. Hunsballe JM, Rittig S, Pedersen EB, Olesen OV, Djurhuus JC. Single dose imipramine reduces nocturnal urine output in patients with nocturnal enuresis and nocturnal polyuria. J Urol 1997; 158:830-836.
  • 14. Wagner W, Johnson SB, Walker D, Carter R, Wittner J. A controlled comparison of two treatments for noctural enuresis. J Pediatr 1982; 101:302-307.
  • 15. Moulden A. Management of bedwetting. Aust Fam Physician 2002; 31:161-163.
  • 16. Vandersteen DR, Husmann DA. Treatment of primary nocturnal enuresis persisting into adulthood. J Urol 1999; 161:90-92.
  • 17. Matricardi A. Functional enuresis. Which is the border between the organic and the pathological? Minerva Pediatr 1996; 48:259-266.
  • 18. Laplanche J, Pontalis JB. Fantasy and the origins of sexuality. Int J Psychoanal 1968; 77:649-657.
  • 19. Schmidt G. International Dictionary of Psychoanalysis. AD Mijolla (ed), first ed., Paris, Calmann-Levy, 2002, p.23-26.
  • 20. Norgaard JP, Djurhuus JC, Watanabe H. Experience and current status of research into the pathophysiology of nocturnal enuresis. Br J Urol 1997; 79:825-835.
  • 21. Mikkelson EJ. Modern approach to enuresis and encopresis. M Lewis (ed), Clinical and Adolescent Psychiatry: A Comprehensive Textbook, second ed., Philadelphia, Williams & Wilkins, 1996, p.590-601.