Urol. praxi, 2011; 12(4): 216-219

Pitfalls of diagnosing and treating enuresis

MUDr.Oldřich ©makal, Ph.D.
Urologická klinika LF UP a FN Olomouc

Failed treatment for monosymptomatic nocturnal enuresis (MNE) is still encountered by physicians caring for children with this type of

incontinence. The potential failure of treatment for MNE is caused not only by multifactorial etiology and unavailability of a definite causal

treatment, but very often by poor cooperation with the child and his family and sometimes even by misdiagnosing the actualform of MNE.

The article deals with some possible mistakes made by the parents as well as the physician in the diagnostic and therapeutic process.

Keywords: children, enuresis, nocturnal enuresis, diagnosis, treatment

Published: August 10, 2011  Show citation

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©makal O. Pitfalls of diagnosing and treating enuresis. Urol. praxi. 2011;12(4):216-219.
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References

  1. Kovács L, Rittig S. Patofyziológia primárnej nočnej enurézy. Čes-slov pediat 1995; 50: 137-143.
  2. Doleľal J. Enuresis nocturna. Urol List 2007; 5(1): 46-49.
  3. De Bruyne E, Van Hoecke E, Van Gompel K, et al. Problem behavior, parental stress and enuresis. J Urol 2009; 182(4 Suppl): 2015-2020. Go to original source... Go to PubMed...
  4. Van Herzeele C, Alova I, Evans J, et al. Poor compliance with primary nocturnal enuresis therapy may contribute to insufficient desmopressin response. J Urol 2009; 182(4 Suppl): 2045-2049. Go to original source... Go to PubMed...
  5. Dítě Z. Bioffedback v léčbě inkontinence moči u dětí. Urolog. Praxi 2010; 11(6): 299-301.
  6. Wennergren H, Öberg B. Pelvic floor exercises for children: a method of treating dysfunctional voiding. Br J Urol 1995; 76: 9-15. Go to original source... Go to PubMed...
  7. Nevéus T, von Gontard A, Hoebeke P, Hjälm?s K, Bauer S, Bower W, J?rgensen TM, Rittig S, Walle JV, Yeung CK, Djurhuus JC. The standardization of terminology of lower urinary tract function in children and adolescents: report from the Standardisation Committee of the International Children's Continence Society. J Urol 2006; 176(1): 314-324. Go to original source... Go to PubMed...
  8. Basha S, Bialowas C, Ende K, Szeremeta W. Effectiveness of adenotonsillectomy in th resolution of nocturnal enuresis secondary to obstructive sleep apnea. Laryngoscope 2005; 115(6): 1101-1103. Go to original source... Go to PubMed...
  9. Glazer CM, Evans JH, Cheuk DK. Complementary and miscellaneous interventions for nocturnal enuresis in children. Cochrane Database Syst Rev 2005; 2: CD005230. Go to original source... Go to PubMed...
  10. Eggert P, Fritz A, Stecker B, Müller D. Desmopressin has an influence on the arousability of children with primary nocturrnal enuresis. J Urol 2004; 171(Pt 2): 2586-2588. Go to original source... Go to PubMed...
  11. Flögelova H, Vrána J. Noční pomočování - problém kaľdé ambulance pediatra. Pediatr. Praxi 2009; 10(3): 146-150.
  12. De Guchtenaere A, Raes A, Van Walle C, et al. Evidence of partial anti-enuretic response related to poor pharmacodynamic effects of desmopressin nasal spray. J Urol 2009; 182(4 Suppl): 2045-2049. Go to original source... Go to PubMed...




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