Muhammed Irfan Nazir, Saqib Munir Suleri, Muhammad Tauseef Asghar.
Management of Nocturnal Enuresis; which is the best option.
Pak J Med Health Sci Jan ;8(1):156-7.

Aim: To find out the involuntary discharge of urine at night in a child aged 5 years or older in the absence of congenital or acquired defects of the central nervous system or urinary tract. Methods: We conducted a study on 180 consecutive patients reporting to the out-patient department of Shalamar Medical and Dental College with the complaint of nocturnal enuresis. All patients were advised bladder conditioning in terms of: 1. Alarm timed voiding 2. Reducing fluid intake in evening. And medical therapy where required 1. Inhaled desmopressin 2. Tricyclic antidepressants Results: We found that 139 out of 180 patients (77%) improved on bladder conditioning. 32 (18%) improved when desmopressin was added to the conditioning and 9 (5%) had to be switched to tricyclic antidepressants. Conclusions: In this study we found that most (77%) of the patients bladder conditioning instructions were beneficial and a low proportion of patients actually required pharmacotherapy.

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