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[Monosymptomatic nocturnal enuresis]

R de P Meneses1

  • 1Hospital Infantil Pequeno Príncipe, Curitiba, PR, Brazil.

Jornal De Pediatria
|December 4, 2003
PubMed
Summary

Monosymptomatic nocturnal enuresis (MNE) requires careful diagnosis, as it can be a distinct condition or a symptom of a broader urinary disorder. Early identification and treatment are crucial for children's well-being and self-esteem.

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Area of Science:

  • Pediatrics
  • Urology
  • Child Psychology

Background:

  • Monosymptomatic nocturnal enuresis (MNE) is prevalent in pediatrics, impacting children psychosocially.
  • Its etiology and treatment remain controversial, highlighting the need for clear definitions.

Purpose of the Study:

  • To demonstrate that MNE can be a distinct clinical entity or a symptom of a urinary disorder.
  • To emphasize the necessity of tailored therapeutic approaches based on accurate diagnosis.

Main Methods:

  • Comprehensive literature review of classical and recent publications by recognized authors.
  • Inclusion of 13 years of clinical experience from a specialized pediatric nephrology unit.

Main Results:

  • Lack of international consensus on MNE concept, terminology, and classification hinders study assessment.
  • Individualizing MNE as a clinical entity is key for appropriate patient guidance.
  • While interpretations of enuresis vary, consensus exists on its negative impact on children's self-esteem and the benefit of treatment.

Conclusions:

  • MNE is often a hidden family issue, leading to delayed treatment and diminished self-esteem.
  • Pediatricians should actively screen for MNE through detailed history and physical examination.
  • MNE warrants recognition as a significant medical problem for professionals and families.

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