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Volume 13 No. 10
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Case Reports

CPAP Treats Enuresis in Adults With Obstructive Sleep Apnea

Robert P. McInnis, MD1; Elisabeth B. Dodds, MD1; Jami Johnsen, MD2; Sanford Auerbach, MD1,3; Yelena Pyatkevich, MD1,3
1Boston University School of Medicine, Boston, Massachusetts; 2Departments of Sleep Medicine and Neurology, Brigham and Women's Hospital, Boston, Massachusetts; 3Department of Neurology, Boston Medical Center, Boston, Massachusetts

Enuresis, or “bedwetting,” in children is associated with obstructive sleep apnea (OSA), and often resolves with treatment of OSA. However, it is poorly understood whether a similar relationship exists in adults. We describe a case series of 5 adult patients in whom OSA was diagnosed by laboratory polysomnography, who presented with enuresis that resolved after treatment with continuous positive airway pressure (CPAP). All cases occurred in the setting of obesity, in addition to other known risk factors for urinary incontinence and enuresis. OSA was diagnosed as severe in all but one case, which was mild. One patient noted recurrence of enuresis that coincided with malfunction of his CPAP machine. There is growing evidence that CPAP therapy may alleviate OSA and enuresis in adults with both conditions. Clinicians should routinely ask about enuresis in patients suspected of having OSA. A systematic study of the association between enuresis and OSA in adults is warranted.

Citation:

McInnis RP, Dodds EB, Johnsen J, Auerbach S, Pyatkevich Y. CPAP treats enuresis in adults with obstructive sleep apnea. J Clin Sleep Med. 2017;13(10):1209–1212.




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