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[Nocturnal enuresis in children]
Marie Préel1, Konstantinos Kamperis, Søren Rittig
1Mariepreel@gmail.com.
Insights
Nocturnal enuresis, or bedwetting, is common in children and involves complex causes. Effective treatments like desmopressin and enuresis alarms exist, with tailored approaches improving outcomes.
Area of Science:
- Pediatric Urology
- Sleep Medicine
Background:
- Nocturnal enuresis is the most prevalent form of urinary incontinence among children.
- Its complex pathophysiology includes increased nighttime urine production, bladder capacity issues, and arousal difficulties.
Purpose of the Study:
- To review the pathophysiology and treatment of nocturnal enuresis in children.
- To highlight effective first-line therapeutic options and the importance of personalized treatment.
Main Methods:
- Literature review of studies on nocturnal enuresis.
- Analysis of current treatment strategies and their efficacy.
Main Results:
- Desmopressin and enuresis alarms are established as effective first-line treatments.
- Successful management is achievable for the majority of affected children.
Conclusions:
- Understanding the multifactorial nature of nocturnal enuresis is key to successful management.
- Personalizing treatment based on individual patient characteristics can optimize outcomes for childhood bedwetting.
Abstract:
Nocturnal enuresis is the most common type of urinary incontinence in children. The pathophysiology of the condition is complex with excess nocturnal urine production, bladder reservoir dysfunction and failure to wake up to the sensation of a full bladder, being important elements. The condition can be successfully treated in most children; desmopressin and the enuresis alarm are both effective first-line treatments. Tailoring the treatment based on the clinical characterisation of the patients can improve the outcome.
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