Uitwerking Richtsnoer 'Enuresis nocturna' voor kinderen met hardnekkige klachten [Further development of 'Enuresis nocturna' guidelines for children with persistent problems]
article
To achieve dryness in children who suffer from persistent bedwetting, it is important to find out which factors play a role in their bedwetting and why previous treatment has failed. The use of a micturition diary is essential. - The child's problems and needs have to be identified and treated individually. The enuresis alarm, with the proper guidance, is the preferred form of initial treatment. - Desmopressin is particularly suitable in cases of nocturnal polyuria or if the use of the alarm is unfeasible. - If the alarm does not have any effect within two weeks or if a rapid result is important, a combination of desmopressin and the alarm is advisable. - Bedwetting combined with daytime micturition problems is often indicative of a small bladder capacity and/or detrusor instability. In these children bladder training and/or treatment with an anticholinergic drug (possibly combined with desmopressin) may be effective. Chemicals / CAS: desmopressin, 16679-58-6; Deamino Arginine Vasopressin, 16679-58-6; Renal Agents
Topics
Cholinergic receptor blocking agentDesmopressinAlarm monitorBladder capacityChild careDetrusor dyssynergiaMedical recordmMicturitionNocturnal enuresisPolyuriaPractice guidelineReviewTrainingBehavior TherapyChildChild, PreschoolCombined Modality TherapyDeamino Arginine VasopressinEnuresisFemaleHumansMaleRenal AgentsTreatment Outcome
TNO Identifier
237590
ISSN
00282162
Source
Nederlands Tijdschrift voor Geneeskunde, 148(1), pp. 17-21.
Pages
17-21
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