PRİMER ENUREZİS NOCTURNA TANILI HASTALARDA EN ZOR SORULAR: DOĞRU TEDAVİ? DOĞRU SÜRE?

Amaç: Çalışmamızda monosemptomatik enurezis nocturna tanısı ile daha önceden kısa dönem medikal tedavi almış ancak tekrar nüks olmuş hastalarda 6 aylık kombine desmopressin ve davranış tedavisinin etkinliğinin retrospektif olarak değerlendirilmesini amaçladık. Materyal ve Metot: Çocuk nefroloji polikliniğine monosemptomatik enurezis nocturna tanısıyla basvuran hastaların dosyaları retrospektif olarak tarandı. 1 aylık ve 3 aylık desmopressin melt tedavisi başlanıp tam veya kısmi yanıt almış ancak tedavi bitiminde nüks olması nedeniyle çocuk hekimleri tarafından yönlendirilip 6 aylık desmopressin tedavisi ve davranış tedavisi verilip tedavi sürecini tamamlamış olan hastalar alındı. Bulgular: Hastaların yaş ortalamaları 11±2,10(minimum 6, maksimum 17 yaş) olarak bulundu. Desmopressin ve davranış tedavisi 6 aya tamamlanan 148 hastanın 121 (%81,70)’sinde tam kuruluk sağlanırken, 12(%8,10) hastada kısmi yanıt izlendi. 15(%10,20) hasta ise yanıtsız olarak değerlendirildi. 26(%17,50) hastada tedavi bitiminden sonraki 3 ay içinde nüks görüldü. Nüks olan ve tedaviye cevapsız olan 16 hastanın

Most Difficult Questions in Patients with Primary Enuresis Nocturna: Correct treatment? Right time?

Aim: In this study, we aimed to evaluate the efficacy of combined desmopressin and behavior therapy in patients with monosymptomatic enuresis nocturna who had previously received short-term medical treatment retrospectively. Materials and Methods: The patients who were diagnosed as monosymptomatic enuresis nocturna by pediatricians were treated with desmopressin melt treatment for 1 month and 3 months and received complete or partial response. Desmopressin treatment and behavioral treatment were administered together for 6 months. Results: The mean age of the patients was 11 ± 2.1 (minimum 6, maximum 17 years). Of the 148 patients whose desmopressin + behavior therapy was completed for 6 months, 121 (%81,70) had complete dryness and 12 (%8,10) had partial response. Fifteen (%10.20) patients were evaluated as unresponsive. Recurrence was observed in 26 (%17,50) patients within 3 months after the end of treatment. 16 patients with relapse and unresponsive to treatment were

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