[Treatments of enuresis]

The current management of nocturnal enuresis is based on simple therapeutic schedules, available if the child, his parents and physician, are determined. The treatment first includes motivational therapy and bladder training exercises. If bedwetting is not controlled, conditioning alarm procedures can offer a high rate of positive results with a low risk of relapse. Tricyclic antidepressants should be avoided because of their severe cardiac and hepatic potential side-effects, and because they provide quite the same short and long-term results than desmopressin. Intranasal desmopressin (20 to 40 micrograms/day) offers a 40 to 60% rate of positive results, and can be administrated over a long period in relapsing patients.