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Nocturnal enuresis

M Harari1

  • 1Department of General Paediatrics, Royal Children's Hospital, Melbourne, Vic.

Australian Family Physician
|February 27, 1999
PubMed

Insights

The most effective treatment for primary nocturnal enuresis (bedwetting) is an alarm. Desmopressin nasal spray offers a short-term solution, while imipramine is falling out of favor due to high relapse rates and overdose risks.

Area of Science:

  • Pediatrics
  • Urology
  • Child Psychology

Background:

  • Primary nocturnal enuresis is a common condition in children.
  • Untreated bedwetting can lead to significant psychological distress as children age.

Purpose of the Study:

  • To outline the primary treatment modalities for nocturnal enuresis.
  • To provide an overview of current therapeutic options for bedwetting.

Main Methods:

  • Review of established and emerging treatments for nocturnal enuresis.
  • Analysis of treatment efficacy and safety profiles.

Main Results:

  • Bedwetting alarms are identified as the most successful treatment.
  • Desmopressin nasal spray is effective for short-term use, such as during school trips.
  • Imipramine treatment is associated with high relapse rates and potential overdose risks, leading to decreased clinical use.

Conclusions:

  • Bedwetting alarms represent the gold standard for treating primary nocturnal enuresis.
  • Desmopressin offers a viable short-term option and can be an adjunct to alarm therapy.
  • The use of imipramine for nocturnal enuresis is discouraged due to safety and efficacy concerns.
Abstract

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