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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

Insights

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

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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