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November 1928

A CLINICAL STUDY OF ENURESIS

Author Affiliations

ST. LOUIS
From the Department of Pediatrics, Washington University School of Medicine and the St. Louis Children's Hospital.

Am J Dis Child. 1928;36(5):989-997. doi:10.1001/archpedi.1928.01920290117007
Abstract

A group of children suffering with enuresis was studied; 129 were boys and 123 girls. The observation covered a period of three years. The following factors to which enuresis is commonly ascribed were selected for study:

  • Enlarged or diseased tonsils and adenoids.

  • Eye strain.

  • The male prepuce.

  • A small meatus.

  • Vaginitis.

  • Pyelitis.

  • Defective posture.

  • Malnutrition.

  • The neurotic constitution.

  • The psychic factor and the rôle of discipline.

  • Sex.

CAUSATIVE FACTORS IN ENURESIS  The Relation of Enlarged or Diseased Tonsils and Adenoids to Enuresis.—It was found that 116 of the children showed sufficient trouble with tonsils or adenoids to justify their classification as abnormal. In forty-nine of these, the tonsils and adenoids were removed for the purpose of curing the enuresis. This it seemed to do in one case. In one other case, the enuresis became considerably worse after the operation, and in the remaining forty-seven cases it did not seem

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