Pediatr. praxi. 2009;10(3):146-150

Enuresis nocturna - the problem of every pediatrician’s practice

MUDr. Hana Flögelová1, MUDr. Jan Vrána2
1 Dětská klinika LF UP a FN Olomouc
2 Urologická klinika FN a LF UP v Olomouci

This article offers general practitioners the summary of the latest information on enuresis nocturna in children. It includes a differential

diagnostic analysis of enuresis which allows us to distinguish monosymptomatic enuresis from urinary incontinence, or secondary

enuresis. Basic physical, laboratory and imaging examinations are described. The etiology of primary monosymptomatic enuresis

is discussed as well as conditioning therapy and treatment options available. The effectiveness and adverse effects of the various

methods of treatment are assessed, on the basis of controlled trials. The conditioning therapy and treatment that can be applied by

general practitioner – pediatrician are described in detail.

Keywords: enuresis, alarm, desmopressin.

Published: June 1, 2009  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Flögelová H, Vrána J. Enuresis nocturna - the problem of every pediatrician’s practice. Pediatr. praxi. 2009;10(3):146-150.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Krantz I, Jylkas E, Ahlberg BM, Wedel H. On the epidemiology of nocturnal enuresis: a critical review of methods used in descriptive epidemiological studies on nocturnal enuresis. Scand J Urol Nephrol 1994; 163(Suppl.): 75-82.
    2. Guidelines EAU pro léčbu močové inkontinence. Urol List 2008? 6(1): 104.
    3. Šmakal O, Vrána J, Hartmann I. Léčba hyperaktivního močového měchýře u dětí. Urolog. pro Praxi 2006? 2: 60-61.
    4. Nevés T, von Gontard A, Hoebeke P, Hjälmls K et al. The standardisation of terminology of lower urinary tract function in children and adolescents: report from the standardisation committee of the ICCS 15 January-05 version.
    5. Šmakal O, Flögelová H. Diagnostika a léčba dítěte s pomočováním v ambulanci PLDD. Pediatr. pro Praxi 2006? 5: 215-217.
    6. Schmidt F, Jorgenssen TM, Djurhus JC. The relationship between bladder, kidney and the CNS. Scand J Urol Nephrol 1995; 173(Suppl.): 51-54.
    7. Yeung CK, Chiu HN, Sit FK. Bladder dysfunction in children with refraktory monosymptomatic primary nocturnal enuresis. J Urol 1999; 162: 1049-1050. Go to original source... Go to PubMed...
    8. Eiberg H. Total genome scan analysis in a single extended family for primary nocturnal enuresis: evidence for a new locus (ENUR 3) for primary nocturnal enuresis on chromosome 22q11. Eur Urol 1998; 33: 34-36. Go to original source... Go to PubMed...
    9. Glazener CMA, Evans JHC. Desmopressin for nocturnal enuresis in children. In: The Cochrane Library, Issue 1, 2007. Chichester, UK: John Wiley & Sons. Search date 2006; primary sources Medline, Embase, Amed, Assia, Bids, Cinahl, Psychlit, Sigle, and Department of Health and Social Services (DHSS) data.
    10. Glazener CMA, Evans JHC, Peto RE. Alarm interventions for nocturnal enuresis in children. In: The Cochrane Library, Issue 1, 2007. Chichester, UK: John Wiley & Sons. Search date 2004; primary sources Medline, Cinahl, and Cochrane Central Register of Controlled Trials. Go to original source...
    11. Šnajderová M, Lehotská V, Kočnárová A, et al. Dlouhodobá léčba desmopressinem u dětí s primární noční enurézou. Čas Lék Čes 1999; 138: 429-435.
    12. Gut J, Kolská M. Enuréza a poruchy mikce. In: Janda J a kol. Dětská nefrologie. Prah: Galén 2006: 169-194.
    13. Lebl J, Kolská M, Zavacká A, Eliášek J, Gut J, Biolek J. Cerebral oedema in enuretic children duting low-dose desmopressin treatment: preventable complication. Eur J Pediatr 2001; 160(3): 159-162. Go to original source... Go to PubMed...
    14. Robson WL, Leung AK. Side effects and complications of treatment with desmopressin for enuresis. J Natl Med Assoc 1994; 86: 775-778. Go to PubMed...
    15. Lottman H, Froeling F., Alloussi S, El-Radhi AS, Rittig S, Riis A, Persson BE. A randomised comparison of oral desmopressin lyophilisate (MELT) and tablet formulations in children and adolescents with primary nocturnal enuresis. Int J Clin Pract 2007; 61(9): 1454-1460. Go to original source... Go to PubMed...
    16. Doležal J. Enuresis nocturna. Urol List 2007? 5(1): 46-48.
    17. Glazener CMA, Evans JHC, Peto RE. Tricyclic and related drugs for nocturnal enuresis in children. In: The Cochrane Library, Issue 1, 2007. Chichester, UK: John Wiley & Sons. Search date 2005, primary sources Medline, Cinahl, and Cochrane Central Register of Controlled Trials.
    18. Rushton HG, Belman AB, Zaontz MR, et al. The influence of small functional bladder capacity and other predictors on the response of desmopressin in the management of monosymptomatic nocturnal enuresis. J Urol 1996; 156: 651-655. Go to original source... Go to PubMed...
    19. Watanabe H, Azuma Z. A proposal for classification system of enuresis based on overnight simultaneous monitoring of EEG and cystometry. Sleep 1989; 9: 257-264.
    20. Radmayr C, Schlager A, Studen M, et al. Prospective randomised trial using laser acupuncture versus desmopressin in the treatment of nocturnal enuresis. Eur Urol 2001; 40: 201-205. Go to original source... Go to PubMed...

    Return to the content


    Pediatrics for Practice

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.