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Nocturnal enuresis. Treatment options
1Children's Hospital, McMaster University, Hamilton, Ont.
Canadian Family Physician Medecin De Famille Canadien
|April 1, 1993
Summary
Bed-wetting alarms offer a cure for motivated children over 7, unlike temporary relief from desmopressin. Underlying causes are usually not found through investigations.
Area of Science:
- Pediatrics
- Urology
- Behavioral Medicine
Background:
- Nocturnal enuresis (bed-wetting) is a prevalent childhood issue causing distress.
- Identifying underlying causes is uncommon; history is key.
- Current treatments offer limited long-term solutions.
Purpose of the Study:
- To evaluate the efficacy of alarm conditioning versus medication for childhood bed-wetting.
- To provide guidance on managing persistent nocturnal enuresis.
Main Methods:
- Review of historical data and treatment outcomes.
- Analysis of alarm conditioning device effectiveness.
- Assessment of intranasal desmopressin acetate efficacy.
Main Results:
- Alarm conditioning can cure bed-wetting in motivated children over 7 years old.
- Intranasal desmopressin acetate provides only temporary relief.
- Diagnostic investigations are rarely fruitful for identifying causes.
Conclusions:
- Alarm conditioning is a viable and potentially curative treatment for motivated children.
- Desmopressin acetate serves as a short-term management option.
- A history-based approach is recommended for assessing bed-wetting causes.