Treatment guideline of enuresis in Taiwan.
The treatment guideline of enuresis suggested by the study group of enuresis in Taiwan is reported. Medical consultation and treatment of enuresis are recommended at the age of 5 and 6 years respectively. Evaluation of the enuretic children includes history taking, physical examination and laboratory investigations. A checklist is provided for quick evaluation in busy clinics. Urinalysis, urine specific gravity and office ultrasonography are essential tests. An algorithm of treatment of monosymptomatic enuresis is constructed. The two main options of treatment are behavioral modification with alarm system and pharmacotherapy with desmopressin or imipramine. Imipramine is recommended as one of the treatment options because of its relative safety in Taiwan. However the potential toxicity and mortality of imipramine is highlighted and warned. The responses to treatment are evaluated after a period of treatment for 1 to 3 months. Further evaluation and individualized treatment is suggested for poor responders.
Yang
S S
SS
Department of Urology, En Chu Kong Hospital, Taiwan. sdyang0047@sinamail.com
Chiou
Y H
YH
Lin
C Y
CY
Cher
T W
TW
Yu
T J
TJ
Lin
A T
AT
Chen
S C
SC
Lai
M K
MK
D000929:Antidepressive Agents, Tricyclic / Q000627:therapeutic use; D001521:Behavior Therapy; D002648:Child; D002675:Child, Preschool; D003894:Deamino Arginine Vasopressin / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004775:Enuresis / Q000188:drug therapy / Q000453:epidemiology / Q000209:etiology* / Q000628:therapy*; D052776:Female Urogenital Diseases / Q000150:complications / Q000175:diagnosis; D006801:Humans; D007099:Imipramine / Q000627:therapeutic use; D052801:Male Urogenital Diseases; D008487:Medical History Taking; D010808:Physical Examination; D017410:Practice Guidelines as Topic; D012076:Renal Agents / Q000627:therapeutic use; D012893:Sleep Wake Disorders / Q000150:complications / Q000175:diagnosis; D013624:Taiwan / Q000453:epidemiology
D000929:Antidepressive Agents, Tricyclic; D012076:Renal Agents; D003894:Deamino Arginine Vasopressin; D007099:Imipramine