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Nocturnal enuresis

K H Ng1

  • 1Department of Child and Adolescent Psychiatry, Institute of Mental Health/Woodbridge Hospital, Singapore.

Singapore Medical Journal
|April 1, 1994
PubMed
Summary
This summary is machine-generated.

Nocturnal enuresis, or bedwetting, is a common childhood condition that can be effectively treated. Motivational therapy and enuretic alarms are key interventions, with medication like desmopressin offering a safe alternative for persistent cases.

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Area of Science:

  • Pediatrics
  • Urology
  • Behavioral Science

Background:

  • Nocturnal enuresis is defined as urinary incontinence during sleep after age 6.
  • While physically benign, it's linked to emotional-behavioral issues and developmental delays.

Purpose of the Study:

  • To outline the diagnosis and treatment of nocturnal enuresis.
  • To compare the efficacy and safety of various treatment modalities.

Main Methods:

  • Diagnosis relies on patient history, physical examination, and urinalysis.
  • Treatment involves motivational therapy, enuretic alarms, and pharmacotherapy.

Main Results:

  • Motivational therapy and alarms are effective, though alarm compliance can be an issue.
  • Desmopressin is a safe and effective medication with fewer side effects than imipramine, despite higher costs.

Conclusions:

  • Nocturnal enuresis is a treatable condition with a multi-faceted approach.
  • Desmopressin presents a favorable safety profile for managing bedwetting.