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Monosymptomatic enuresis: the therapeutic weapons.
R Chimenz1, A Spinuzza2, L Cannavò2
1Department of Human Pathology in Adult and Developmental Age "Gaetano Barresi", Unit of Pediatric Nephrology and Rheumatology with Dialysis, University of Messina, Policlinico "G. Martino" Messina, Italy.
Nocturnal enuresis (NE), or bed-wetting in children over five, is reviewed for causes and treatments. Alarm therapy is the primary approach, with desmopressin as a common medication option.
Area of Science:
- Pediatrics
- Urology
- Child Psychology
Background:
- Nocturnal enuresis (NE) is defined as involuntary bed-wetting in children over five years old.
- Diagnostic criteria are established by the World Health Organization (ICD-10) and the American Psychiatric Association (DSM-5).
Purpose of the Study:
- To review current knowledge on the etiology of nocturnal enuresis.
- To explore the most recent therapeutic options for managing NE.
Main Methods:
- Literature review focusing on etiological factors of NE.
- Analysis of current non-pharmacological and pharmacological treatment strategies.
Main Results:
- Alarm therapy is identified as the first-line treatment for NE.
- Desmopressin is the most frequently utilized medical treatment for NE.
- The relative effectiveness of various therapies remains uncertain.
Conclusions:
- Understanding the etiology of NE is crucial for effective management.
- A combination of motivational, alarm, and drug therapies forms the mainstay of NE treatment.
- Further research is needed to clarify the comparative efficacy of different NE interventions.
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