Urol. praxi. 2017;18(4):154-157 | DOI: 10.36290/uro.2017.036

Therapy resistant enuresis

MUDr. Pavel Drlík^{1, 2}, MUDr. Marcel Drlík, FEAPU², doc. MUDr. Jiří Heráček, Ph.D., MBA^{1, 2}, MUDr. Jiří Kočárek, Ph.D.^{1, 2}

¹ Urologické oddělení ÚVN, VoFN Praha

² Urologická klinika VFN a 1. LF UK Praha

Monosymptomatic nocturnal enuresis (MNE) is a common disease in childhood. Enuresis has a significant impact on the childand its family quality of life. In some cases treatment fails. The most common causes of a failure are: low patient's adherence totreatment, misdiagnosis of other underlying pathology and incorrect use of therapy. Repeated child and its parents' education,detailed reexamination aiming to rule out all possible missed pathologic conditions and detailed history of previous therapy arethe key points of success. The treatment should follow the International Children's Continence Society recommendations. The firstline treatment is represented by enuretic alarm and/or desmopressin, the second line includes administration of anticholinergics,imipramin should only be used as a third line treatment.

Keywords: mono-symptomatic nocturnal enuresis, adherence to treatment, desmopressin, enuretic alarm, anticholinergics, imipramin

Published: November 1, 2017  Show citation