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KMID : 1218220120040010007
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Korean Journal of Pediatric Urology
2012 Volume.4 No. 1 p.7 ~ p.11
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Minireview in Nocturnal Enuresis
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Cho Sung-Yong
Park Kwan-Jin
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Abstract
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Nocturnal enuresis is defined to be a condition in which children of age 5 and above have urinary incontinence while asleep. There are two categories of enuresis - monosymptomatic and non-monosymptomatic. Patients with monosymptomatic enuresis do not show any symptoms such as urinary frequency, urgency, or incontinence during the day. The most important causes of nocturnal enuresis are nocturnal polyuria, small bladder capacity, overactive bladder, and related sleep-wake disorders, and the accompanying psychological effects and anxiety cause much difficulty for the young patients. Therefore, the urinary symptoms and comorbidities should be carefully examined, and the presence of monosymptomatic enuresis should be determined through necessary physical and laboratory testing. Afterwards,
comorbidities should be treated, and then behavioral therapy should be carried out. For cases in which the above mentioned approaches are ineffective, desmopressin and enuresis alarms have been used as first-line treatments. Recently, if response to these treatment methods were unsatisfactory, clinicians have attempted methods such as anticholinergics or combination therapy. Clinicians should discuss thoroughly with patients and their family in order to find individualized and more accurate approaches.
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KEYWORD
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Nocturnal enuresis, Desmopressin
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