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[Enuresis: treatments recognized by EBM]
1Service d'Urologie, C.H.U. de Charleroi et Hôpital Erasme. dr.wespes@skynet.be
Insights
Nocturnal enuresis, a common childhood condition, requires proper diagnosis and treatment. Evidence supports bladder advice, enuresis alarms, and desmopressin for monosymptomatic cases, with resistant cases needing specialist care.
Area of Science:
- Pediatric urology
- Sleep medicine
- Child health
Context:
- Nocturnal enuresis is a prevalent pediatric condition.
- Requires effective diagnostic and therapeutic strategies.
- Impacts child well-being and family life.
Purpose:
- To review the epidemiology and pathophysiology of nocturnal enuresis.
- To outline current evidence-based treatment options.
- To guide management of therapy-resistant cases.
Summary:
- Epidemiology and pathophysiology of nocturnal enuresis are discussed.
- Monosymptomatic nocturnal enuresis treatment options include bladder advice, enuresis alarms, and desmopressin.
- Refractory cases necessitate referral to specialized centers.
Impact:
- Provides a comprehensive overview for clinicians.
- Aids in optimizing diagnostic and therapeutic approaches.
- Improves management of children with nocturnal enuresis.
Abstract:
Nocturnal enuresis is a frequent pediatric disease which necessitates an appropriate diagnostic and therapeutic approach. In this article, we discuss the epidemiology and physiopathology of this condition. Available evidence suggests that children with monosymptomatic nocturnal enuresis could be treated by bladder advice, the enuresis alarm and/or desmopressin. Therapy resistant cases should be handled by specialist centers.
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