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Therapy concept in enuretic children

A Etele-Hainz1, E Artens, M Marberger

  • 1Department of Urology, University of Vienna Medical School, Vienna, Austria. maria-angelika.etele@univie.ac.at

European Urology
|May 26, 1998
PubMed
Summary
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This study found that childhood enuresis, or bedwetting, is often linked to delayed maturation or disrupted sleep rhythms. Treatments include cognitive feedback for voiding issues and desmopressin for nighttime urine overproduction.

Area of Science:

  • Pediatric Urology
  • Developmental Pediatrics

Background:

  • Childhood enuresis affects a significant number of children.
  • Enuresis can stem from various underlying issues, including developmental delays and hormonal imbalances.

Purpose of the Study:

  • To analyze the therapeutic approaches for childhood enuresis based on a detailed diagnostic scheme.
  • To identify common causes and effective treatments for enuretic children.

Main Methods:

  • A complex diagnostic scheme was employed to individually assess over 700 children aged 5-15 with enuresis.
  • Treatment strategies were tailored based on the specific diagnosis for each child.

Main Results:

  • Enuresis was frequently associated with delayed fine motor control maturation or disrupted circadian rhythms.

Related Experiment Videos

  • While many cases lacked major physical pathology, neurourological issues were considered.
  • Cognitive flow-triggered feedback and desmopressin (DDAVP) were utilized for specific enuresis subtypes.

    • Conclusions:

    • Childhood enuresis often presents as a symptom of developmental delays rather than a primary disease.
    • A personalized diagnostic and therapeutic approach is crucial for managing enuresis effectively.
    • Specific treatments like cognitive feedback and desmopressin address distinct etiological factors in enuretic children.