• Urol. Clin. North Am. · Aug 2004

    Review

    Nocturnal enuresis: medical management.

    • Anju A Mammen and Fernando A Ferrer.
    • Department of Urology, University of Connecticut and Connecticut Children's Medical Center, 282 Washington Street, Suite 2G, Hartford, CT 06106, USA.
    • Urol. Clin. North Am. 2004 Aug 1; 31 (3): 491-8, ix.

    AbstractNocturnal enuresis is a problem that affects many children and their families. The etiology seems to be multifactorial and may include a combination of genetic factors,abnormal urodynamics, alterations in vasopressin secretion, sleep factors, psychologic factors, organic disease, and maturational delay. Generally, a complete history and physical examination, with a specific focus on the genitourinary, gastrointestinal, and neurologic systems, is all is that is needed in the evaluation of a patient with enuresis.Currently, the mainstays of medical therapy are DDAVP, imipramine, and oxybutynin. Medications can help to control the symptoms of enuresis, but they generally do not provide a cure; therefore, behavioral therapy is often recommended in conjunction with pharmacotherapy.

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