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Chapter-53 Nocturnal Enuresis—Medical Management

BOOK TITLE: Principles and Practice of Pediatric Nephrology

Author
1. Vijayakumar M
2. Nammalwar BR
ISBN
9788180613043
DOI
10.5005/jp/books/11074_53
Edition
1/e
Publishing Year
2004
Pages
8
Author Affiliations
1. Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India, Government Medical College, Manjeri, Kerala, India, Pediatric Kidney Foundation, Chennai, Dr Mehta’s Hospitals Pvt Ltd., Chennai, Government Medical College, Kozhikode, Kerala, India, Mehta Children’s Hospital, Chetpet, Chennai, Tamil Nadu, India, Government Medical College, Kozhikode, Kerela, India, Mehta Children’s Hospital, Chennai, Tamil Nadu, Mehta’s Children Hospital, Chennai, Tamil Nadu, India, Mehta Children’s Hospital, Chennai, Tamil Nadu, India, Dr. Mehta’s Hospital; Chennai Pediatric Kidney Foundation, Chennai, India, Chennai Pediatric Kidney Foundation, Dr Mehta’s Hospitals Pvt. Ltd, Chennai, National Botanical Research Institute, Lucknow-226 001, India, Medical College, Alappey, Kerala, Manipal Institute of Nephrology and Urology, Manipal Hospital, Bangalore, Karnataka, India, Kanchi Kamakoti, Childs Trust Hospital, Chennai
2. Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India, Kanchi Kamakoti CHILDS, Trust Hospital, Chennai, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, India, Institute of Child Health, Hospital for Children; Mehta Children Hospital, Chennai, Tamil Nadu, Mehta Children’s Hospital, Chennai, Tamil Nadu, India, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Mehta's Multispeciality Hospital, Chennai, Tamil Nadu, India, Institute of Child Health, Hospital for Children and Dr Mehta’s Children’s Hospital, Chennai, Tamil Nadu
Chapter keywords

Abstract

Nocturnal enuresis is one of the common developmental problems seen in children. It has a familial tendency, essentially affecting children with a progressive spontaneous remission until adulthood. It can interfere with normal development because unfortunately nocturnal enuresis carries emotional stigmata. Nocturnal enuresis is essentially benign in a pathological sense and hence therapy must be effective with minimal morbidity. The disease is defined as the involuntary voiding of urine at least two nights per month beyond the age of 5 years by which bladder control is normally obtained and without associated congenital or acquired defects of the urinary tract. Relapse is when two or more wetnights within two weeks of initial success and the interval between the initial success and relapse should be measured.

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