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A recent study highlights potential benefits, but experts urge cautious interpretation.
For children suffering from both obstructive sleep apnea (OSA) and nocturnal enuresis (NE), undergoing a tonsillectomy and/or adenoidectomy may significantly improve bedwetting symptoms, according to a recent review published in the European Archives of Oto-Rhino-Laryngology on January 25, 2025.
The systematic review, led by Zhe Wang and colleagues from the General Hospital of Northern Theater Command in Shenyang, China, examined the efficacy of these surgical procedures in treating NE among children with OSA.
Key Findings
The researchers found that for children with NE who underwent adenoidectomy and/or tonsillectomy, the overall remission (OR) rate was 67%, with a complete remission (CR) rate of 57% and a partial remission rate of 4%.
- In cases of primary NE, the OR and CR were 67% and 59%, respectively.
- For children who specifically underwent adenotonsillectomy, the OR was 72%, while the CR was 65%.
- Among children older than five years, the OR and CR were 67% and 58%, respectively.
- For those with a postoperative follow-up period of no more than three months, the OR and CR were recorded at 64% and 52%, respectively.
- Data from randomized controlled trials suggested lower remission rates, with both OR and CR at 37.3%.
Cautious Interpretation Advised
Despite the promising findings, the authors urge careful interpretation of the results. “We should be relatively cautious in interpreting these results, and the actual remission rate may be lower than we expected,” they stated.
The findings suggest that while tonsillectomy and adenoidectomy could play a role in alleviating nocturnal enuresis in children with OSA, further research is needed to validate these results and determine long-term benefits.
Disclaimer
This article is for informational purposes only and does not constitute medical advice. Parents or guardians concerned about nocturnal enuresis or sleep apnea in children should consult a qualified healthcare professional for personalized recommendations and treatment options.
More Information: Zhe Wang et al., The role of adenoidectomy and/or tonsillectomy in the treatment of nocturnal enuresis in OSA children: a single-arm meta-analysis, European Archives of Oto-Rhino-Laryngology (2025). DOI: 10.1007/s00405-025-09221-2
