Is drug treatment efficient for enuresis?
Most clinics consider enuresis a medical problem. The patient is given a comprehensive and unnecessary medical assessment with no findings. The treatment model is often drug therapy (DDAVP). We might see some progress during the drug usage but should expect a relapse (60%-90%) when the patient stops using the drug. The drugs sometimes have side effects. Advantages Easy administration When it is effective, the results are fast. Disadvantages Limited success High relapse rate after stopping drug usage Possible side effects The drug is expensive. Drug treatment is recommended in the following circumstances: When the child sleeps outside his home When the child is not cooperating. Drug treatment requires no motivation or effort When the family is incapable of doing behavioral treatment When behavioral treatment is unsuccessful, drug treatment can be combined. Drug treatment is not recommended before age 7-8 years.
