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Related Experiment Videos

Primary nocturnal enuresis: current.

M Cendron1

  • 1Section of Urology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire 03756-0001, USA. Marc.Cendron@Hitchcock.org

American Family Physician
|March 24, 1999
PubMed
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Primary nocturnal enuresis, or bedwetting, affects children and parents, often due to developmental delays or genetics. Treatments range from behavioral therapies to medications like desmopressin.

Area of Science:

  • Pediatric Urology
  • Child Psychology
  • Endocrinology

Background:

  • Primary nocturnal enuresis (PNE) significantly impacts children's psychosocial well-being and family dynamics.
  • Common etiological factors include maturational delay, genetic predisposition, arousal difficulties, and reduced nocturnal antidiuretic hormone (ADH) secretion.
  • Anatomical abnormalities and psychological issues are typically not primary causes of PNE.

Purpose of the Study:

  • To review the causes, evaluation methods, and treatment options for primary nocturnal enuresis in children.
  • To provide an overview of current therapeutic strategies for managing bedwetting.

Main Methods:

  • Diagnostic evaluation primarily involves a comprehensive medical history, targeted physical examination, and basic urinalysis (specific gravity and dipstick tests).

Related Experiment Videos

  • Treatment approaches encompass non-pharmacologic interventions and pharmacologic therapies.

    • Main Results:

    • Non-pharmacologic treatments include motivational therapy, behavioral conditioning, and bladder training.
    • Pharmacologic options consist of imipramine, anticholinergic medications, and desmopressin, all demonstrating variable success rates.
    • The diagnostic process is generally straightforward, avoiding extensive investigations for most cases.

    Conclusions:

    • Primary nocturnal enuresis is a multifactorial condition manageable through a combination of behavioral and medical interventions.
    • Effective management strategies can alleviate the psychosocial burden associated with PNE for affected children and their families.
    • Further research may refine treatment protocols for improved outcomes.