Resumen

ALMEIDA, Pedro Silva; MONTEIRO, João Ricardo Alves  y  MADALENA, Célia. Nocturnal enuresis: experience of a specialized consultation at CHPV/VC. Nascer e Crescer [online]. 2010, vol.19, n.3, pp.144-148. ISSN 0872-0754.

Introduction: Nocturnal enuresis (NE) is a common problem in childhood healthcare. At the age of 5 nocturnal enuresis prevalence is 15%. Most patients have monosymptomatic NE (MNE). Objectives: To study the children with NE followed at the Enuresis Consult at the Centro Hospitalar da Póvoa de Varzim/Vila do Conde(CHPV/VC). Material and methods: Observational, analytic and retrospective study of the patients of the Enuresis Consult at the CHPV/VC, with the first appointment between July 2003 and December 2007. The data was collected from clinical files and coded with Microsoft Excel 2007©. Results: The study included 137 children (67% of males), aged 5 to 17 years. In 87,6%, the NE was primary, in 57,7% it was MNE; in 76,5% there was enuresis every night and in 72% there was polyuria. All the children performed a urine analysis. Of the 77 cases of MNE, in 3 children positive enforcement was instituted with cure in 2; 74 children were treated with desmopressin, curing 42%. In 17 patients the alarm was associated to desmopressin, curing 88,2%. In the 53 cases of non-monosymptomatic NE (NMNE) it was instituted treatment with oxibutinin, with a cure rate of 11%. In 47 children desmopressin was added, with a cure rate of 43%. In 7 the desmopressin was associated to the alarm, with a cure rate of 43%. Discussion and conclusion: The association of desmopressin with alarm was efficacious in the treatment of MNE. In cases of NMNE the therapy with oxybutynin alone was ineffective, often resolving with the combination of two drugs and/or alarm.

Palabras clave : Enuresis; children; treatment.

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