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A New Approach to Nocturnal Enuresis, Incidence, Causes, Treatment.

Am J Dis Child. 1967;113(6):744-745. doi:10.1001/archpedi.1967.02090210158025.
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Logically organized, clearly written, and neatly designed, this monograph is a worthy import. After reading the volume one should understand the ubiquitous problem of bedwetting much better, but, alas, it is not the final answer to managing it. While making no claim to having the ultimate solution, the author presents an important concept. He first reviews practically everything pertaining to the problem, except some of the psychiatric literature. It is clear that all treatments have a psychological effect on nocturnal enuresis, but it is probable that psychiatric problems play a primary role in but a small percentage of cases. The author believes a physician should be able to recognize these without much difficulty. Less than 1% of cases have strictly organic defects.

Of the three basic causes of nocturnal enuresis, (1) delayed development or functional interruption of higher center control, (2) bladder abnormalities, and (3) nocturnal polyuria, the last is


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