title: Management of nocturnal enuresis - myths and facts.
abstract: Nocturnal enuresis often causes considerable distress or functional impairment to patient and their parents necessitating a multidisciplinary approach from paediatrician, paediatric nephrologist, urologists and psychiatrist. Mechanisms of monosymptomatic nocturnal enuresis are mainly nocturnal polyuria, bladder overactivity and failure to awaken from sleep in response to bladder sensations. Goal oriented and etiology wise treatment includes simple behavioral intervention, conditioning alarm regimen and pharmacotherapy with desmopressin, imipramine and anticholinergic drugs. Symptoms often recurs requiring change over or combination of different modes of treatment.
authors.affiliation: Rajiv Sinha, Paediatric Nephrology, Department of Pediatrics, Institute of Child Health, Kolkata 700017, West Bengal, India.
authors.forename: Rajiv
authors.initials: R
authors.lastname: Sinha
authors.affiliation: Rajiv Sinha, Paediatric Nephrology, Department of Pediatrics, Institute of Child Health, Kolkata 700017, West Bengal, India.
authors.forename: Sumantra
authors.initials: S
authors.lastname: Raut
keywords: Conditioning alarm; Desmopressin; Imipramine; Monosymptomatic; Nocturnal enuresis