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Review of Enuresis in Over-5s Conducted

Authors encourage full evaluation and treatment; find invasive procedures not usually needed

WEDNESDAY, Jan. 27 (HealthDay News) -- Nighttime bedwetting in children over the age of 5 years is a condition that requires proper evaluation and treatment, according to a report in the February issue of The Journal of Urology.

Tryggve Neveus, M.D., of Uppsala University Children's Hospital in Sweden, and colleagues conducted a literature review and also drew on their own clinical experience to draft recommendations on treating children with monosymptomatic nocturnal enuresis.

Treatment of nocturnal enuresis can be successfully done by primary care physicians or a trained nurse, the researchers found, with accurate case history and a voiding chart as key elements of the primary evaluation process. Bladder advice, an enuresis alarm and desmopressin are all useful treatments, while specialist care should be sought for cases that are resistant to therapy.

"Among the recommended second line therapies are anticholinergics and in select cases imipramine," the authors write. "It should be kept in mind that therapy-resistant children benefit from regular new attempts with the enuresis alarm. The fact that it did not work two years ago does not mean that it will not work now. When new alarm treatment attempts are made, adding desmopressin may be beneficial, at least if the child has nocturnal polyuria."

One author reported a financial relationship with Ferring.

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