How to help bedwetters and their families.
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Biomedical subjects
Publications and source records attributed to P M Bindelglas.
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The authors followed 29 young adults who had been treated for enuresis with imipramine hydrochloride 10 years earlier. To test beliefs that enuresis is symptomatic of severe psychopathology or of urological conditions, they studied whether the treatment had been followed by psychological decompensation; an inhibition of learning; a predisposition to drug abuse; negative effects on health, growth, weight, and development; or continued urinary symptoms. None of these negative effects was present; in general the subjects were active, well-motivated, and sociable and showed no significant psychiatric symptoms. One patient still wetted but only occasionally.
The evaluation and management of enuresis has long been a common and challenging problem in everyday practice. Enuresis is a symptom believed to result from a variety of etiological factors, including genitourinary disease, neurological disturbances, delayed development, allergic reactions, deep sleep, and psychological factors. Although enuresis is frequently a self-limiting condition, every child presenting with this problem deserves a careful work-up and consideration of therapy based on the probable underlying cause. There are five major approaches to therapy of enuresis: psychological, psycho-physiological, medication (particularly imipramine HC1), conditioning therapy, and dietary restrictions. Effective therapy will often involve more than one approach and should be tailored on an individual basis to meet each child's particular needs.
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