[Excretory disorders in children and adolescents].MMW Fortschr Med 2007; 149(18):30-3MF
Nocturnal enuresis unaccompanied by other excretory problems is due to a genetic CNS development disorder and responds well to cognitive-behavioral therapy and alarm interventions. If diurnal urinary incontinence is also present, various subtypes are differentiated, for the treatment of which cognitive-behavioral therapy must be supported by drugs or behavioral therapy. In the etiology of encopresis, genetic and psychosocial factors must be considered, as well as, in particular, chronic constipation. Generally, cognitive-behavioral therapeutic management is recommended. Measures aimed at regulating bowel movement must be taken to treat accompanying constipation.