Unità Operativa di Pediatria e Neonatologia, Ospedale Civile di Matera
Key words: Enuresis, Desmopressin, Behavioural therapy, Bladder training
Enuresis is a very frequent complaint: its prevalence is 10% in 6-year old children. Primary
nocturnal enuresis is a multifactorial condition, where an unbalance between urine production
and bladder functional capacity is associated with arousal problems. The diagnostic approach
is mainly clinical and includes laboratory and instrumental investigations are necessary
only when other day symptoms such as incontinence urgency, poliuria or dysuria.
Treatment options include behavioural approaches (alarm systems and bladder training)
and drugs. Behavioural treatment is usually effective and desmopressin can be associated to
it or used to control enuresis in specific situations.