NOCTURNAL ENURESIS


KEFİ A., TEKGÜL S.

TURKISH JOURNAL OF UROLOGY, cilt.32, sa.1, ss.99-105, 2006 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 32 Sayı: 1
  • Basım Tarihi: 2006
  • Dergi Adı: TURKISH JOURNAL OF UROLOGY
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.99-105
  • Hacettepe Üniversitesi Adresli: Evet

Özet

Introduction: Nocturnal enuresis (NE), defined as involuntary voiding during sleep, is observed in 15% of children at age 5. Development of NE is the result of a variety of factors; genetic factors and stressful early life events are the most notable. An underlying bladder dysfunction should be kept in mind in an enuretic child with daytime urinary symptoms. Behavioral approach is the first step for the management of a child with the diagnosis of primary NE. Alarm treatment is a successful and safe choice especially for the motivated parents and child. Desmopressin and imipramine are effective in the children with higher nocturnal urine volumes, but relapse rate is elevated after treatment is stopped. Imipramine is selectively recommended for a child with secondary enuresis arised from a psychogenic origin. However, severe and frequent side effects of imipramine are well known. Combination therapies and/or exercise and anticholinergic drugs to increase nocturnal bladder capacity are recommended for unsuccessfully treated children with alarm or desmopressin. The parents and child should actively participate in the choice of treatment.