Nocturnal Enuresis

Question 0

Is there a family pattern?

Answer 0

Yes. A history of enuresis in first-degree relatives is found in 75% of these children.

Question 1

What is nocturnal enuresis?

Answer 1

Pattern of involuntary or intentional voiding of urine into bed or clothes after age 5, occurring at night.

Question 2

When does enuresis occur in relation to onset of sleep?

Answer 2

In most cases 30 minutes to 3 hours after falling asleep.

Question 3

What is the frequency of enuresis that meets the diagnostic criteria?

Answer 3

At least twice a week for at least three consecutive months or it must cause marked impairment or distress.

Question 4

What is the treatment for nocturnal enuresis?

Answer 4

Behavior modification, psychotherapy for associated psychopathology, low does of tricyclic antidepressants (eg. Imipramine), desmopressin (DDAVP).

Question 5

Upon resolution of enuresis what other aspects of the child’s life are improved?

Answer 5

• Improved self-esteem

- More confident social interactions.

Question 6

What does nocturnal enuresis in adolescents imply?

Answer 6

Possible, in some cases, a greater degree of underlying psychopathology.

Question 7

What conditions are associated with nocturnal enuresis in children?

Answer 7

Adjustment disorder, anxiety, oppositional defiant disorder, ADHD.