Nocturnal Enuresis: Revisited

Nocturnal Enuresis is the involuntary passage of urine during sleep. Nocturnal enuresis is more often a genetic problem. Lindstrom et al. have reported that enuresis is unlikely to be related to nocturnal diuresis and low nocturnal functional bladder capacity, rather it is related to a disorder of sleep arousal. Failure to awaken to the sensation of a full or contracting bladder suggesting a disorder of sleep arousal is central to the pathogenesis of nocturnal enuresis [1]. Urotherapy or biofeedback therapy is important for children with urge syndrome and dysfunctional voiding. Treatment with tolterodine or oxybutynin chloride might be helpful. Antibiotic therapy is important for cystitis. The treatment process has a beneficial effect on self-esteem and behavior on these children. Almost all patients with PNE and SNE will improve with treatment or time.