Monosymptomatic enuresis: the therapeutic weapons

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.