Open AccessManagement of nocturnal enuresis - myths and facts
Author(s) -
Rajiv Sinha,
Sumantra Raut
Publication year - 2016
Publication title -
world journal of nephrology
Language(s) - English
Resource type - Journals
ISSN - 2220-6124
DOI - 10.5527/wjn.v5.i4.328
Subject(s) - enuresis , medicine , desmopressin , anticholinergic , pediatrics , intensive care medicine , nocturnal , oxybutynin , psychiatry , overactive bladder , alternative medicine , pathology
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.