ISSN: 2165-7025

Journal of Novel Physiotherapies
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  • Commentary   
  • J Nov Physiother 2017, Vol 7(5): 367
  • DOI: 10.4172/2165-7025.1000367

Nocturnal Enuresis Treatment: New Perspectives

Juliana Barbosa Goulardins1,2, Rita Pavione Rodrigues Pereira1 and Clarice Tanaka1*
1Division of Physiotherapy, Hospital das Clínicas HCFMUSP, Faculty of Medicine, University of Sao Paulo, Brazil
2Biophotonics Applied to Health Sciences, Universidade Nove de Julho, Brazil
*Corresponding Author : Clarice Tanaka, Division of Physiotherapy, Hospital das Clínicas HCFMUSP, Faculty of Medicine, University of Sao Paulo, R. Dr. Oviacute;dio Pires De Campos, 255 - Cerqueira César, São Paulo - SP, Brazil, Tel: +55 11 2661-3373/6867/7969, Email: cltanaka@usp.br

Received Date: Sep 15, 2017 / Accepted Date: Oct 07, 2017 / Published Date: Oct 10, 2017

Abstract

Nocturnal enuresis (NE) is a very frequent problem, characterized by involuntary urination during sleep in individuals aged five years or more, after exclusion of organic causes. This set of associated symptoms may lead to deterioration of bladder function, upper urinary tract and, in extreme cases, even renal failure. The prevalence of voiding dysfunctions is as high as 10% of the world's pediatric population. This commentary discusses the etiology and pathophysiology, and current approaches to therapeutic management of NE. Different studies have shown associations with genetic predisposition, hormonal and metabolic factors, and central nervous system maturation delay. The major pathogenetic mechanisms include nocturnal polyuria, detrusor over activity, and disturbed sleep. Psychologic and behavioral abnormalities seem to be a result, rather than a cause, of NE. We highlight the need for this condition not to be understood as an isolated phenomenon but as a combination of several possible factors in a particular child. Bedwetting is only part of a complex set of changes in children’s lives, which leads to important functional impairments and psychosocial disorders, often ignored by the family and even by the health professionals. The scenario of associated disorders demonstrates the need for a comprehensive approach.

Keywords: Childhood primary enuresis; Motor coordination; Neural basis

Citation: Goulardins JB, Rodrigues Pereira RP, Tanaka C (2017) Nocturnal Enuresis Treatment: New Perspectives. J Nov Physiother 7: 367. Doi: 10.4172/2165-7025.1000367

Copyright: © 2017 Goulardins JB, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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