Aggiornamento monografico
Vescica instabile ed enuresi
IMMATURE BLADDER AND NOCTURNAL ENURESIS
LEOPOLDO PERATONER
Unità Operativa di Pediatria, Ospedale S. Maria degli Angeli, Pordenone
Dicembre 1999 - pagg. 623 -625
Abstract
Immature bladder is a physiologic condition in infants and toddlers. In the great majority of
cases, nocturnal enuresis is accompanied by signs of immature bladder (urgency, frequency,
day incontinence etc.) during daytime. Treatment with alarm devices are effective
in 70% of cases, while bladder training is successful in 50% of cases and desmopressin
(DDAVP) in 25% of cases. DDAVP is an effective drug, although not free from side effects.
It should be considered as an adjunctive approach to a behavioural strategy for bladder
control, rather than a causal therapy.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
1. Averous M: Le syndrome d’immaturité vésicale.
J Urologie 91, 257-267, 1985.
2. Sener F, Hasanoglu E, Soylemezoglu O: Desmopressin versus indomethacin treatment in primary nocturnal enuresis and the role of prostaglandins. Urology 52, 878-881, 1998.
3. Moffat MEK, Harlos S, Kirshen AJ, Burd L: Desmopressin acetate and nocturnal enuresi: how much do we know? Pediatrics 92, 420- 425, 1993.
4. Hjalmas K, Hanson E, Hellstrom AL, Kruse S, Sillan U: Long-term treatment with desmopressin in children with primary monosymptomatic nocturnal enuresis: an open multicentre study. Br J Urol 82, 704-709, 1998.
5. Chiozza ML, Del Gado R, Di Toro R et al: Italian multicentre open trial on DDAVP spray in nocturnal enuresis. Scand J Urol Nephrol 33, 42-48, 1999.
6. Kruse S, Hellstrom AL, Hjalmas K: Daytime bladder disfunction in therapy-resistant nocturnal enuresis. Scand J Urol Nephrol 33, 49-52, 1999.
2. Sener F, Hasanoglu E, Soylemezoglu O: Desmopressin versus indomethacin treatment in primary nocturnal enuresis and the role of prostaglandins. Urology 52, 878-881, 1998.
3. Moffat MEK, Harlos S, Kirshen AJ, Burd L: Desmopressin acetate and nocturnal enuresi: how much do we know? Pediatrics 92, 420- 425, 1993.
4. Hjalmas K, Hanson E, Hellstrom AL, Kruse S, Sillan U: Long-term treatment with desmopressin in children with primary monosymptomatic nocturnal enuresis: an open multicentre study. Br J Urol 82, 704-709, 1998.
5. Chiozza ML, Del Gado R, Di Toro R et al: Italian multicentre open trial on DDAVP spray in nocturnal enuresis. Scand J Urol Nephrol 33, 42-48, 1999.
6. Kruse S, Hellstrom AL, Hjalmas K: Daytime bladder disfunction in therapy-resistant nocturnal enuresis. Scand J Urol Nephrol 33, 49-52, 1999.