Management of nocturnal enuresis; which is the best option

Aim: to find out the involuntary discharge of urine at night in a child aged 5 years or older in the absence of congenital or acquired defects of the central nervous system or urinary tract. methods: we conducted a study on 180 consecutive patients reporting to the out-patient department of shalamar medical and dental college with the complaint of nocturnal enuresis. all patients were advised bladder conditioning in terms of: 1. alarm timed voiding 2. reducing fluid intake in evening. and medical therapy where required 1. inhaled desmopressin 2. tricyclic antidepressants results: we found that 139 out of 180 patients (77%) improved on bladder conditioning. 32 (18%) improved when desmopressin was added to the conditioning and 9 (5%) had to be switched to tricyclic antidepressants. conclusions: in this study we found that most (77%) of the patients bladder conditioning instructions were beneficial and a low proportion of patients actually required pharmacotherapy.