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The three systems: a conceptual way of understanding nocturnal enuresis.

Abstract
Childhood nocturnal enuresis has traditionally been regarded as a multifaceted problem with a variety of treatment interventions. This paper proposes a model based on the notion that nocturnal enuresis arises through the ill functioning of one or more of the following three systems - a lack of vasopressin release during sleep; bladder instability; and/or an inability to arouse from sleep to bladder sensations. Clinical signs of each system are outlined and the appropriate treatment intervention for each is discussed. It is argued that addressing nocturnal enuresis in this way will enhance overall treatment effectiveness.
AuthorsR J Butler, P Holland
JournalScandinavian journal of urology and nephrology (Scand J Urol Nephrol) Vol. 34 Issue 4 Pg. 270-7 (Aug 2000) ISSN: 0036-5599 [Print] England
PMID11095087 (Publication Type: Journal Article, Review)
Chemical References
  • Vasopressins
Topics
  • Arousal (physiology)
  • Child
  • Enuresis (physiopathology, therapy)
  • Humans
  • Sleep Wake Disorders (physiopathology)
  • Urinary Bladder (physiopathology)
  • Vasopressins (metabolism)

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