Enuresis alarms are an effective and safe treatment for nocturnal enuresis

Enuresis alarms are effective and safe for treating children with nocturnal enuresis but require several months of continuous use, making them unsuitable for some families. The drugs desmoressin and imipramine both ameliorate bedwetting but benefit may not last after treatment has stopped. Serious adverse effects are common with imipramine, so it should be used with great caution. It is important that parents and children should actively participate in the choice of treatment. Evans discusses the evidence for the treatment of bedwetting on p 1167. The article also shows that daytime urinary symptoms in a bedwetting child suggest an underlying bladder dysfunction rather than nocturnal enuresis.

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Relevant Article

Evidence based paediatrics: Evidence based management of nocturnal enuresis

Jonathan H C Evans
BMJ 2001 323: 1167-1169. [Extract] [Full Text] [PDF]