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[Therapy of monosymptomatic nocturnal enuresis in childhood and adolescence: what is the evidence?].
- Source :
-
Klinische Padiatrie [Klin Padiatr] 2007 Jan-Feb; Vol. 219 (1), pp. 2-8. Date of Electronic Publication: 2006 Mar 01. - Publication Year :
- 2007
-
Abstract
- Nocturnal enuresis (bedwetting) is one of the most frequent urological symptoms in children, affecting about 20% of five year olds. It is a heterogeneous disorder with a whole variety of etiologic factors (genetic, endocrinological, neurobiological), particularly a dysfunction of the lower urinary tract. Despite the prevalence of enuresis many questions regarding the complex pathophysiological mechanisms remain unanswered. While nocturnal enuresis per se is clearly not a disease, psychosocial problems have been reported in up to 40% of affected children. Management strategies comprise behavioural and pharmacological approaches, either in isolation or combined. Although expectations were high, especially with pharmacological interventions, the results are usually disappointing with high recurrence rates. Extensive analyses of the available literature on the efficacy of enuresis treatment modalities reveal a poor quality of many trials with a whole range of methodological flaws. Therefore, further comparative studies of adequate methodological quality are needed.
- Subjects :
- Adolescent
Antidepressive Agents, Tricyclic administration & dosage
Antidiuretic Agents administration & dosage
Behavior Therapy
Child
Child, Preschool
Cholinergic Antagonists administration & dosage
Combined Modality Therapy
Cross-Sectional Studies
Deamino Arginine Vasopressin administration & dosage
Female
Humans
Incidence
Male
Nocturnal Enuresis epidemiology
Nocturnal Enuresis etiology
Nocturnal Enuresis therapy
Subjects
Details
- Language :
- German
- ISSN :
- 0300-8630
- Volume :
- 219
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Klinische Padiatrie
- Publication Type :
- Academic Journal
- Accession number :
- 16586268
- Full Text :
- https://doi.org/10.1055/s-2005-836936