Medical management of nocturnal enuresis.

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TitleMedical management of nocturnal enuresis.
Publication TypeJournal Article
Year of Publication2012
AuthorsDeshpande, AV, H Y Caldwell, P
JournalPaediatr Drugs
Volume14
Issue2
Pagination71-7
Date Published2012 Apr 1
ISSN1179-2019
KeywordsAlgorithms, Anti-Inflammatory Agents, Non-Steroidal, Antidepressive Agents, Tricyclic, Antidiuretic Agents, Behavior Therapy, Child, Child, Preschool, Cholinergic Antagonists, Deamino Arginine Vasopressin, Humans, Imipramine, Mandelic Acids, Neurophysins, Nocturnal Enuresis, Protein Precursors, Risk Factors, Vasopressins
Abstract

Nocturnal enuresis, or bedwetting, is the most common cause of urinary incontinence in children. It is known to have a significant psychosocial impact on the child as well as the family. Nocturnal enuresis typically presents as failure to become dry at night after successful daytime toilet training. It can be primary or secondary (developing after being successfully dry at night for at least 6 months). Children with nocturnal enuresis may have excessive nocturnal urine production, poor sleep arousal and/or reduced bladder capacity. Alarm therapy is the recommended first-line therapy, with treatment choices being influenced by the presence or absence of the abnormalities mentioned above. Children with nocturnal enuresis may also have daytime urinary urgency, frequency or incontinence of urine. This group (non-monosymptomatic nocturnal enuresis) requires a different clinical approach, with a focus on treating daytime bladder symptoms, which commonly involves pharmacotherapy with anticholinergic medications and urotherapy (including addressing bowel problems). This review discusses the current management of nocturnal enuresis using the terminologies recommended by the International Children's Continence Society.

DOI10.2165/11594870-000000000-00000
Alternate JournalPaediatr Drugs
Citation Key303
PubMed ID22168597

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