Diagnosis and treatment of nocturnal enuresis throughout the ages

Pieter Dik , Mohammad Sajjad Rahnama’i
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Abstract

Nocturnal enuresis is associated with discomfort and it can lead to serious disturbed family life, bullying and low self esteem. Throughout​ the ages therapies for bedwetting were tried varying from drinking wine with shaved down testicle of a hare, flogging with nettles, cold showers, injections with strychnine, application of metal devices and electrical pulses until eventually the discovery of the pad and bell alarm was made. More about bedwetting was understood not earlier than in the past 50 years. Counselling, targeted medication and alarm clock training improved outcome and prognosis. New therapies are being developed such as innovative alarm clocks and medication. Still 10% of girls and 18% of boys suffer from bedwetting around the age of 6 years and this will not change much because genetic factors are the most important cause of nocturnal enuresis.
历代夜间遗尿症的诊断和治疗
夜间遗尿会让人感到不适,严重时还会导致家庭生活混乱、受欺负和自卑。古往今来,人们尝试过各种治疗尿床的方法,包括用剃下的野兔睾丸喝酒、用荨麻鞭打、冷水淋浴、注射马钱子碱、使用金属装置和电脉冲,直到最终发现尿垫和尿铃报警器。在过去的 50 年里,人们对尿床有了更多的了解。咨询、针对性药物和闹钟训练改善了治疗效果和预后。目前正在开发新的疗法,如创新的闹钟和药物。目前,仍有 10% 的女孩和 18% 的男孩在 6 岁左右尿床,这种情况不会有太大改变,因为遗传因素是导致夜间遗尿的最重要原因。
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