An overview of the management of nocturnal enuresis in children.
Nocturnal enuresis is one of the common conditions of childhood and left untreated can cause increasing stress and anxiety for the child and disruption for the family. This article gives an overview of the potential contributory factors to the cause of bedwetting and highlights the importance of carrying out a focused assessment using the 'three systems' approach, to not only exclude any underlying pathology but also help direct treatment. The different treatment options are discussed and emphasis is placed on involving the child and family in the decision-making process. A child-focused approach will help ensure that whatever treatment is chosen, either the alarm or desmopressin will lead towards the best treatment outcome.
Rogers
June
J
Knowsley Primary Care Trust, Manchester.
D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000150:complications; D002648:Child; D002675:Child, Preschool; D018680:Cholinergic Antagonists / Q000627:therapeutic use; D003248:Constipation / Q000150:complications; D003463:Cues; D003894:Deamino Arginine Vasopressin / Q000627:therapeutic use; D004775:Enuresis / Q000209:etiology* / Q000628:therapy*; D004864:Equipment and Supplies; D005247:Feeding Behavior; D006801:Humans; D012076:Renal Agents / Q000627:therapeutic use; D012893:Sleep Wake Disorders / Q000150:complications*; D001743:Urinary Bladder / Q000503:physiopathology
D018680:Cholinergic Antagonists; D012076:Renal Agents; D003894:Deamino Arginine Vasopressin