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Clinical perspectives in primary nocturnal enuresis

G A Gimpel1, W J Warzak, B R Kuhn

  • 1Utah State University, Logan, USA.

Clinical Pediatrics
|February 25, 1998
PubMed

Insights

Primary nocturnal enuresis (PNE) treatment options are reviewed. Enuresis alarms are recommended for families able to adhere to protocols, while desmopressin offers a safe, fast-acting alternative for pediatric bedwetting.

Area of Science:

  • Pediatric Urology
  • Sleep Medicine
  • Behavioral Pediatrics

Background:

  • Primary nocturnal enuresis (PNE) is a common pediatric condition.
  • Awareness of current research on PNE etiology and treatment varies among professionals.

Purpose of the Study:

  • To provide a comprehensive overview of PNE, focusing on etiology, evaluation, and treatment.
  • To discuss the most current PNE treatments and their recent research findings.

Main Methods:

  • Literature review of PNE etiology and evaluation.
  • Analysis of current treatment options: imipramine, desmopressin acetate arginine vasopressin, and enuresis alarms.
  • Evaluation of recent research on treatment effectiveness, long-term efficacy, cost, and safety.

Main Results:

  • Enuresis alarms are identified as the treatment of choice for compliant families due to long-term efficacy, cost, and safety.
  • Desmopressin acetate arginine vasopressin is a safe alternative with rapid response and ease of administration.

Conclusions:

  • Treatment selection for PNE should consider family capability, desired response time, and administration ease.
  • Enuresis alarms and desmopressin represent effective, evidence-based options for managing pediatric primary nocturnal enuresis.

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