NYMC Faculty Publications

Evaluation and Treatment of Nonmonosymptomatic Nocturnal Enuresis: A Standardization Document From the International Children's Continence Society

Author Type(s)

Faculty

DOI

10.1016/j.jpurol.2012.10.026

Journal Title

Journal of Pediatric Urology

First Page

234

Last Page

243

Document Type

Article

Publication Date

4-1-2013

Department

Urology

Keywords

Antidiuretic Agents, Botulinum Toxins, Type A, Child, Deamino Arginine Vasopressin, Diurnal Enuresis, Electric Stimulation Therapy, Humans, Neuromuscular Agents, Nocturnal Enuresis, Practice Guidelines as Topic

Disciplines

Medicine and Health Sciences | Pediatrics | Urology

Abstract

PURPOSE: This document represents the consensus guidelines recommended by the ICCS on how to evaluate and treat children with nonmonosymptomatic nocturnal enuresis (NMNE). The document is intended to be clinically useful in primary, secondary and tertiary care.

MATERIALS AND METHODS: Discussions were held by the board of the ICCS and a committee was appointed to draft this document. The document was then made available to the members of the society on the web site. The comments were vetted and amendments were made as necessary to the document.

RESULTS: The main scope of the document is the treatment of NMNE with drugs other than desmopressin-based therapy. Guidelines on the assessment, and nonpharmacologic and pharmacologic management of children with NMNE are presented.

CONCLUSIONS: The text should be regarded as an expert statement, not a formal systematic review of evidence-based medicine. It so happens that the evidence behind much of what we do in the care of enuretic children is quite weak. We do, however, intend to present what evidence there is, and to give preference to this rather than to experience-based medicine, whenever possible.

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