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[Evaluation and management of enuresis. An update].
Urologe A. 2010 Jul; 49(7):861-9; quiz 870.U

Abstract

Enuresis is defined as nocturnal bed wetting for at least 2 nights per month in children older than 5 years. At this age the prevalence of enuresis is about 15-20%. More than 50% of these children show day time symptoms, such as frequency, urgency and incontinence (non-monosymptomatic enuresis). The other children are asymptomatic during day time and wet the bed during the night time (monosymptomatic enuresis). The main pathogenetic factors are nycturia, detrusor overactivity and reduced arousability. Psychological and psychiatric aspects, genetics and obstipation play an additional role in the etiology. Basic diagnostic investigations are mandatory before treatment. Clinical history, physical examination, sonography of the urinary tract, urinalysis and bladder diary are prerequisites before any therapeutic steps are taken. The cornerstones of primary enuresis therapy are general lifestyle advice, pharmacotherapy and alarm devices. Therapy-resistant children deserve further evaluation and a multidisciplinary therapy approach. After careful evaluation specific therapy is efficient in approximately 80% of patients.

Authors+Show Affiliations

Abteilung für Kinderurologie, Krankenhaus der Barmherzigen Schwestern Linz, Seilerstätte 4, Linz, Austria. marcus.riccabona@bhs.at

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

20574752

Citation

Riccabona, M. "[Evaluation and Management of Enuresis. an Update]." Der Urologe. Ausg. A, vol. 49, no. 7, 2010, pp. 861-9; quiz 870.
Riccabona M. [Evaluation and management of enuresis. An update]. Urologe A. 2010;49(7):861-9; quiz 870.
Riccabona, M. (2010). [Evaluation and management of enuresis. An update]. Der Urologe. Ausg. A, 49(7), 861-9; quiz 870. https://doi.org/10.1007/s00120-010-2328-2
Riccabona M. [Evaluation and Management of Enuresis. an Update]. Urologe A. 2010;49(7):861-9; quiz 870. PubMed PMID: 20574752.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Evaluation and management of enuresis. An update]. A1 - Riccabona,M, PY - 2010/6/25/entrez PY - 2010/6/25/pubmed PY - 2010/12/17/medline SP - 861-9; quiz 870 JF - Der Urologe. Ausg. A JO - Urologe A VL - 49 IS - 7 N2 - Enuresis is defined as nocturnal bed wetting for at least 2 nights per month in children older than 5 years. At this age the prevalence of enuresis is about 15-20%. More than 50% of these children show day time symptoms, such as frequency, urgency and incontinence (non-monosymptomatic enuresis). The other children are asymptomatic during day time and wet the bed during the night time (monosymptomatic enuresis). The main pathogenetic factors are nycturia, detrusor overactivity and reduced arousability. Psychological and psychiatric aspects, genetics and obstipation play an additional role in the etiology. Basic diagnostic investigations are mandatory before treatment. Clinical history, physical examination, sonography of the urinary tract, urinalysis and bladder diary are prerequisites before any therapeutic steps are taken. The cornerstones of primary enuresis therapy are general lifestyle advice, pharmacotherapy and alarm devices. Therapy-resistant children deserve further evaluation and a multidisciplinary therapy approach. After careful evaluation specific therapy is efficient in approximately 80% of patients. SN - 1433-0563 UR - https://www.unboundmedicine.com/medline/citation/20574752/[Evaluation_and_management_of_enuresis__An_update]_ L2 - https://dx.doi.org/10.1007/s00120-010-2328-2 DB - PRIME DP - Unbound Medicine ER -