Nocturnal enuresis : a suggestion for a European treatment strategy

The objective of this study was to review the published literature on aetiology and treatment of nocturnal enuresis, with the aim of providing a treatment strategy which is easy for the patient and their family to follow. Results from European studies conducted over the last 15 y were included in th...

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Bibliographic Details
Published in:Acta pædiatrica (Oslo) 1999-06, Vol.88 (6), p.679-690
Main Authors: LÄCKGREN, G, HJÄLMAS, K, VAN GOOL, J, VON GONTARD, A, DE GENNARO, M, LOTTMANN, H, TERHO, P
Format: Article
Language:English
Subjects:
Age Factors
Antidepressive Agents, Tricyclic - therapeutic use
Behavior Therapy - methods
Biological and medical sciences
Cholinergic Antagonists - therapeutic use
Circadian Rhythm - physiology
Combined Modality Therapy
Deamino Arginine Vasopressin - blood
Deamino Arginine Vasopressin - therapeutic use
Enuresis - therapy
Europe
Guidelines as Topic
Humans
Mandelic Acids - therapeutic use
Medical sciences
Nephrology. Urinary tract diseases
Osmolar Concentration
Prognosis
Renal Agents - blood
Renal Agents - therapeutic use
Urinary system involvement in other diseases. Miscellaneous
Urinary tract. Prostate gland
Urine - chemistry
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Summary:The objective of this study was to review the published literature on aetiology and treatment of nocturnal enuresis, with the aim of providing a treatment strategy which is easy for the patient and their family to follow. Results from European studies conducted over the last 15 y were included in this review. It can be concluded from the results of these studies that enuresis is the cause and not the result of a psychiatric disorder. However, there is still considerable variation in success rates, from 28 to 90%. It is of vital importance that a caring approach from the doctor and a positive family and patient attitude are present for successful treatment. The first choice of treatment should be the one most acceptable to the family, e.g. alarm, desmopressin and combination treatment.
ISSN:0803-5253
1651-2227
DOI:10.1080/08035259950169396