The Evaluation and Treatment of Therapy-Resistant Enuresis: A Review

Nevéus, Tryggve

doi:10.3109/2000-1967-026

Cited by 31 publications

(16 citation statements)

References 27 publications

(28 reference statements)

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“…Los niños con enuresis tienen más probabilidades de desarrollar sintomatología de la esfera psicológica, generalmente subclínica, como disminución de autoestima, timidez, irritabilidad y aislamiento social (6)(7)(8).…”

Section: Introductionunclassified

Enuresis en niños: frecuencia y antecedentes familiares

Saieh

Álvarez

Lucero

2015

Revista Médica Clínica Las Condes

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RESUMENLa enuresis es una patología frecuente en pediatría, con potencial impacto en la calidad de vida del niño y sus padres. En Chile no existe literatura respecto al potencial efecto de esta patología en la dinámica familiar. El objetivo de este trabajo fue estimar la frecuencia de enuresis en una población de nivel socioeconómico medio-alto y describir los factores de riesgo familiares asociados y grado de preocupación de los padres respecto al tema. Método. Entre 2010 y 2011 se aplicó una encuesta voluntaria a los padres de pacientes atendidos ambulatoriamente en Clínica Las Condes. Se registraron los antecedentes de enuresis de los padres, número y edad de los hijos, número de hijos con enuresis, preocupación de los padres al respecto. Resultados. Se analizaron 334 familiares, que correspondieron a 499 niños mayores de cinco años, de los cuales 91 (18,2%) presentaron enuresis. El 57% de los pacientes con enuresis tenía antecedentes familiares, 58% correspondía al padre, 36% a la madre y 6% a ambos padres. El 51% de los padres reveló preocupación por este hecho. El grupo etario más afectado correspondió a niños de entre cinco y nueve años con un 38,8% de frecuencia, porcentaje bastante mayor al señalado por la literatura. Respecto a la herencia, un 57% tenía antecedentes familiares de padre y/o madre con enuresis.Palabras clave: Enuresis, continencia urinaria, trastornos de la micción. SUMMARYEnuresis is a common condition in children, with potential impact on quality of life of children and their parents. In our country there is no literature on the potential impact of this disease on family dynamics. The aim of this study was to estimate the frequency of bedwetting in a population of middle-high socioeconomic level and describe the risk factors associated, family and degree of parental concern regarding the issue. Method: between 2010 and 2011 were surveyed parents of voluntary outpatients seen at Clinica Las Condes. We recorded the history of bedwetting parents, number and age of children, number of children with enuresis, parental concern about it. Results: We analyzed 334 families, which corresponded to 499 children over five years old. , Ninety one (18.2%) had enuresis. 57% of patients with enuresis had a family history, 58% belonged to the father, the mother 36% and 6% both parents. 51% of parents showed concern about this. The most affected age group accounted for children between 5 and 9 years with a 38.8% rate, far higher percentage than that reported by the literature. Regarding inheritance, 57% had a family history of father and/or mother with enuresis.

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Section: Introductionunclassified

Enuresis en niños: frecuencia y antecedentes familiares

Saieh

Álvarez

Lucero

2015

Revista Médica Clínica Las Condes

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“…Therefore, the synthetic AVP analogue desmopressin is widely used to treat children with MNE [6]. Its antidiuretic action results from an increased renal reabsorption of water, leading to a reduced volume and more concentrated urine.…”

Section: Introductionmentioning

confidence: 99%

Case report: Desmopressin and somnambulism

Herzeele¹,

Dhondt²,

Walle³

2013

OJPed

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Background: Nocturnal enuresis is caused by a mismatch between nocturnal urine production and bladder capacity. Together with a presumed decreased arousability, this results in an inability to awaken in response to a full bladder. According to recent findings, a disrupted sleep might play a role in the pathophysiology of enuresis. Case: A 7-year-old boy was diagnosed with primary nocturnal enuresis caused by nocturnal polyuria and a concomitant parasomnia, somnambulism. A polysomnographic study was performed before treating the nocturnal enuresis with the oral lyophylisate formulation of desmopressin (melt). After 1 day of treatment, both nocturnal enuresis and somnambulism disappeared. Treatment was ceased after six months. One week later, the child started to produce more urine and redeveloped nocturnal polyuria. Somnambulism reappeared followed by nocturnal enuresis two weeks later. The same treatment protocol was started up, resulting in disappearance of both nocturnal enuresis and somnambulism. Conclusion: This case report documents the beneficial effect of desmopressin melt on both nocturnal enuresis, caused by nocturnal polyuria, and a concomitant parasomnia in particularly somnambulism.

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“…If these causes can be ruled out, the most commonly recommended first-line therapies are pharmacological treatment with desamino-arginine vasopressin (dDAVP) and ⁄ or alarm therapy with alarm devices, which both constitute treatments of first choice (2). However, because of its side effect profile, the initiation of this treatment should be limited to specialized centres (2,6). If neither pharmacological nor alarm treatment is efficient in the older child with relevant psychosocial impact, an individual therapeutic trial with imipramine can be undertaken.…”

Section: Introductionmentioning

confidence: 99%