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Nocturnal enuresis in children.

N S Ali1

  • 1Department of Community Health Sciences, Aga Khan University, Karachi.

JPMA. the Journal of the Pakistan Medical Association
|March 6, 1999
PubMed
Summary

Nocturnal enuresis management focuses on teaching children to wake themselves up. Behavioral modification with enuretic alarms offers the highest cure rates for bedwetting.

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Area of Science:

  • Pediatrics
  • Urology
  • Behavioral Medicine

Background:

  • Nocturnal enuresis is a common childhood condition.
  • Management is typically handled by general practitioners.
  • Nocturnal self-awakening is a promising management strategy.

Purpose of the Study:

  • To highlight the importance of nocturnal self-awakening in managing nocturnal enuresis.
  • To discuss the role of behavioral modification and enuretic alarms.
  • To provide guidance on the appropriate use of enuretic alarms and pharmacotherapy.

Main Methods:

  • Behavioral modification techniques.
  • Enuretic alarm therapy.
  • Pharmacological interventions for specific situations.

Main Results:

  • Behavioral modification combined with enuretic alarms demonstrates the highest cure rate.
  • This combined approach also shows the lowest relapse rate.
  • Enuretic alarms are suitable for children aged 5 and above.

Conclusions:

  • Nocturnal self-awakening is a key to managing nocturnal enuresis effectively.
  • Enuretic alarms are a safe and highly effective treatment option.
  • Medications should be reserved for short-term needs, not primary management.

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