Nocturnal enuresis: A topic review and institution experience

The objective is to provide a review of nocturnal enuresis (NE), including its epidemiology, etiology, pathophysiology, evaluation, and current management. We also set to provide further insight on the treatment of this condition from the experience derived from patients cared for at our tertiary‑ca...

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Autores principales:	John Michael DiBianco, Chad Morley, Osama Al-Omar
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2014
Materias:	bedwetting desmopressin dysfunctional voiding nocturnal enuresis nocturnal polyuria Medicine R
Acceso en línea:	https://doaj.org/article/ecb8fc2973724c849d774a4027d8cf88
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spelling	oai:doaj.org-article:ecb8fc2973724c849d774a4027d8cf882021-12-02T17:58:16ZNocturnal enuresis: A topic review and institution experience2231-07702249-446410.4103/2231-0770.140641https://doaj.org/article/ecb8fc2973724c849d774a4027d8cf882014-10-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/2231-0770.140641https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464The objective is to provide a review of nocturnal enuresis (NE), including its epidemiology, etiology, pathophysiology, evaluation, and current management. We also set to provide further insight on the treatment of this condition from the experience derived from patients cared for at our tertiary‑care institution. NE affects approximately 15% of all children at 5‑year‑old, affecting boys more frequently than girls. At our large university tertiary pediatric urology center, NE and incontinence, in general, is one the most common chief complaints prompting urologic care. In this review, we examine the condition in detail, highlighting specific goals of the initial evaluation and treatment. We contrast the commonly implemented treatment recommendations, available from the literature with strategies we have found valuable from our extensive experience in treating patients with this disorder. Using current urologic reference textbooks, book chapters, Medline, journal articles and reviews describing the many aspects of NE were reviewed in order to describe NE and the current practices at our institution. Although, this is not a systematic literature review, it includes relevant available research, institutional experience and urological expert opinion and current practices at a tertiary state health facility. The treatment of NE remains a challenge for many pediatricians and pediatric urologists. This likely stems from the multiple possible etiologies of the disorder. We have established a treatment algorithm at our institution, which we have found successful in the majority of our patients. This consists of starting patients on urotherapy, then offering both the enuresis alarm device and medication therapy as first line treatments, and finally adding anticholingerics for combination therapy. Our hope is with further research the treatment of NE will continue to improve.John Michael DiBiancoChad MorleyOsama Al-OmarThieme Medical and Scientific Publishers Pvt. Ltd.articlebedwettingdesmopressindysfunctional voidingnocturnal enuresisnocturnal polyuriaMedicineRENAvicenna Journal of Medicine, Vol 04, Iss 04, Pp 77-86 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	bedwetting desmopressin dysfunctional voiding nocturnal enuresis nocturnal polyuria Medicine R
spellingShingle	bedwetting desmopressin dysfunctional voiding nocturnal enuresis nocturnal polyuria Medicine R John Michael DiBianco Chad Morley Osama Al-Omar Nocturnal enuresis: A topic review and institution experience
description	The objective is to provide a review of nocturnal enuresis (NE), including its epidemiology, etiology, pathophysiology, evaluation, and current management. We also set to provide further insight on the treatment of this condition from the experience derived from patients cared for at our tertiary‑care institution. NE affects approximately 15% of all children at 5‑year‑old, affecting boys more frequently than girls. At our large university tertiary pediatric urology center, NE and incontinence, in general, is one the most common chief complaints prompting urologic care. In this review, we examine the condition in detail, highlighting specific goals of the initial evaluation and treatment. We contrast the commonly implemented treatment recommendations, available from the literature with strategies we have found valuable from our extensive experience in treating patients with this disorder. Using current urologic reference textbooks, book chapters, Medline, journal articles and reviews describing the many aspects of NE were reviewed in order to describe NE and the current practices at our institution. Although, this is not a systematic literature review, it includes relevant available research, institutional experience and urological expert opinion and current practices at a tertiary state health facility. The treatment of NE remains a challenge for many pediatricians and pediatric urologists. This likely stems from the multiple possible etiologies of the disorder. We have established a treatment algorithm at our institution, which we have found successful in the majority of our patients. This consists of starting patients on urotherapy, then offering both the enuresis alarm device and medication therapy as first line treatments, and finally adding anticholingerics for combination therapy. Our hope is with further research the treatment of NE will continue to improve.
format	article
author	John Michael DiBianco Chad Morley Osama Al-Omar
author_facet	John Michael DiBianco Chad Morley Osama Al-Omar
author_sort	John Michael DiBianco
title	Nocturnal enuresis: A topic review and institution experience
title_short	Nocturnal enuresis: A topic review and institution experience
title_full	Nocturnal enuresis: A topic review and institution experience
title_fullStr	Nocturnal enuresis: A topic review and institution experience
title_full_unstemmed	Nocturnal enuresis: A topic review and institution experience
title_sort	nocturnal enuresis: a topic review and institution experience
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2014
url	https://doaj.org/article/ecb8fc2973724c849d774a4027d8cf88
work_keys_str_mv	AT johnmichaeldibianco nocturnalenuresisatopicreviewandinstitutionexperience AT chadmorley nocturnalenuresisatopicreviewandinstitutionexperience AT osamaalomar nocturnalenuresisatopicreviewandinstitutionexperience
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Nocturnal enuresis: A topic review and institution experience

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