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Title: Evaluation of and Treatment for Monosymptomatic Enuresis: A Standardization Document From the International Children's Continence Society
Authors: Neveus, Tryggve
Eggert, Paul
Evans, Jonathan
Macedo, Antonio [UNIFESP]
Rittig, Soren
Tekguel, Serdar
Walle, Johan Vande
Yeung, C. K.
Robson, Lane
Uppsala Univ
Univ Kiel
Univ Nottingham Hosp
Universidade Federal de São Paulo (UNIFESP)
Aarhus Univ Hosp
Hacettepe Univ
Ghent Univ Hosp
Chinese Univ Hong Kong
Keywords: urinary bladder
nocturnal enuresis
reference standards
societies, medical
Issue Date: 1-Feb-2010
Publisher: Elsevier B.V.
Citation: Journal of Urology. New York: Elsevier B.V., v. 183, n. 2, p. 441-447, 2010.
Abstract: Purpose: We provide updated, clinically useful recommendations for treating children with monosymptomatic nocturnal enuresis.Materials and Methods: Evidence was gathered from the literature and experience was gathered from the authors with priority given to. evidence when present. the draft document was circulated among all members of the International Children's Continence Society as well as other relevant expert associations before completion.Results: Available evidence suggests that children with monosymptomatic nocturnal enuresis could primarily be treated by a primary care physician or an adequately educated nurse. the mainstays of primary evaluation are a proper history and a voiding chart. the mainstays of primary therapy are bladder advice, the enuresis alarm and/or desmopressin. Therapy resistant cases should be handled by a specialist doctor. Among the recommended second line therapies are anticholinergics and in select cases imipramine.Conclusions: Enuresis in a child older than 5 years is not a trivial condition, and needs proper evaluation and treatment. This requires time but usually does not demand costly or invasive procedures.
ISSN: 0022-5347
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