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[Enuresis nocturna--practical advice for examination and treatment]
J Holt1, H J Bangstad, D Brackman
1Barneavdelingen Nordland sentralsykehus 8092 Bodø. jholt@online.no
Summary
Children with nocturnal enuresis (bedwetting) experience improved self-esteem when treatment is successful. Effective management involves personalized strategies, including alarm devices and desmopressin, with specialist referral when needed.
Area of Science:
- Pediatrics
- Urology
- Child Psychology
Context:
- Nocturnal enuresis impacts children's self-esteem and quality of life.
- Medical evaluation is crucial to rule out underlying organic causes.
Purpose:
- To outline evidence-based treatment strategies for nocturnal enuresis.
- To emphasize personalized treatment selection based on individual child factors.
Summary:
- Treatment choices for nocturnal enuresis should consider child's age, motivation, bladder capacity, and nocturnal polyuria.
- Alarm devices and desmopressin are recommended treatments, with specific guidelines for use.
- Referral to pediatric specialists is advised for complex cases or treatment failures.
Impact:
- Improved self-esteem and well-being for children with nocturnal enuresis.
- Enhanced management protocols for pediatric departments.
- Facilitates informed treatment decisions for healthcare providers and families.
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