Nocturnal enuresis is a common problem in childhood that occurs in approximately 8% of 8-year-olds. Although our knowledge about the etiology, treatment, and benefits of treatment in enuresis has grown, expert consensus in these three areas remains elusive. During the past several years pediatricians have been confronted with a considerable amount of publicity and advertising related to the treatment of enuresis with desmopressin acetate (DDAVP). The information surge regarding enuresis has left many pediatricians confused as to appropriate intervention strategies to be considered in the management of this very common childhood malady.

ETIOLOGY OF NOCTURNAL ENURESIS—WHAT DO WE KNOW?

Although there clearly are diseases and structural abnormalities that can cause enuresis, the etiology in most children with enuresis remains unclear.

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