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Primäre monosymptomatische Enuresis

Diagnostik und Therapie

Primary monosymptomatic enuresis

Diagnostics and therapy

Zusammenfassung

Nächtliches Einnässen ist eines der häufigsten Symptome im Kindesalter. In diesem Artikel werden neben einer einheitlichen Terminologie Basisdiagnostik und erweiterte Diagnostik dargelegt. In Abhängigkeit von den Befunden kann eine darauf abgestimmte Therapie erfolgen. Neben medikamentöser Therapie mit ADH oder dem Einsatz von Alarmgeräten zeigt auch die Kombination beider Ansätze gute Behandlungserfolge. Ein Ausschleichen der Therapie zeigt bessere Langzeitergebnisse im Vergleich zum abrupten Absetzen.

Abstract

Nocturnal enuresis is one of the most common problems in childhood. In this article a standardized terminology for basic diagnostics additionally to extended diagnostics will be presented. Depending on the findings a specialized therapy can be performed. Besides drug therapy with antidiuretic hormone (ADH) sleep arousal devices can be used and the combination of both approaches also shows excellent results. At the end of therapy a protracted withdrawal shows better results than abrupt cessation.

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Correspondence to J. Seibold.

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Seibold, J., Alloussi, S., Todenhöfer, T. et al. Primäre monosymptomatische Enuresis. Urologe 52, 9–14 (2013). https://doi.org/10.1007/s00120-012-3074-4

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Schlüsselwörter

  • Harninkontinenz, kindliche
  • Inkontinenz, intermittierende
  • Hormon, antidiuretisches
  • Klingelgeräte

Keywords

  • Incontinence, childhood
  • Incontinence, intermittent
  • Hormon, antidiuretic
  • Arousal devices