Resumo

SALAZAR-OZUNA, WA. et al. Medical management of enuresis in children: current aspects. Rev. mex. urol. [online]. 2017, vol.77, n.3, pp.230-237.  Epub 04-Jun-2021. ISSN 2007-4085.

Enuresis is a frequent pathology in all cultures, but is abnormal after 5 years of age, contributing to conditions of social isolation in the child and alterations in the family nucleus. The aim of this study was to report on current aspects of enuresis treatment. The pathophysiology of this disorder ranges from bladder capacity alterations, the quantity of urine produced during the night, and the incapacity of the child to wake up and use the bathroom. Part of the treatment is the correct diagnosis and precise motivation of both the child and parents to carry out the ideal management, utilizing behavioral therapies, such as setting a wake-up alarm, or drug therapies, such as desmopressin and imipramine. There is a 3-month follow-up with treatment suspension for one week to evaluate and determine whether treatment can be permanently suspended or continued with a minimum effective dose, achieving the maintenance of dry nocturnal episodes.

Palavras-chave : Enuresis; Desmopressin; Alarm; Imipramine.