Management of patients with refractory nocturnal enuresis.
10.5124/jkma.2017.60.10.800
- Author:
Seong Cheol KIM
1
Author Information
1. Department of Urology, Haeundae Paik Hospital, Inje University School of Medicine, Busan, Korea. H00181@paik.ac.kr
- Publication Type:Original Article
- Keywords:
Nocturnal enuresis;
Drug therapy;
Drug resistance
- MeSH:
Attention Deficit Disorder with Hyperactivity;
Drug Resistance;
Drug Therapy;
Enuresis;
Humans;
Life Style;
Lower Urinary Tract Symptoms;
Nocturnal Enuresis*;
Polyuria
- From:Journal of the Korean Medical Association
2017;60(10):800-805
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
There are two types of refractory nocturnal enuresis. The first type corresponds to patients who are refractory from initial success, and the second type refers to refractory nocturnal enuresis after long-term success, in patients who cannot discontinue medications for enuresis. In the former type, it is necessary to determine whether the timing of medications is appropriate, whether the usage of antidiuretics is appropriate, whether any lifestyle changes have taken place, and whether there are secondary causes of enuresis. In the latter type, enuretic alarm treatment should be considered initially, and it is then important to investigate whether a respiratory obstruction is present in patients with nocturnal polyuria, whether the patient is constipated, and whether patients with non-monosymptomatic nocturnal enuresis have lower urinary tract symptoms or attention deficit hyperactivity disorder.
