Enuresis is a frequent reason for consultation in the primary care centres. Although its natural evolution in the majority of cases is towards spontaneous resolution, the negative consequences that can be occasioned in the life of the child and the discomforts that it creates for the family justify our interest in dealing with the question.

Our aim is to define the concept of enuresis and its types; to contribute a protocol based on a careful anamnesis and an exploration and a basic analysis of urine to enable us to make an initial selection of those cases that might have a pathological background and thus be susceptible to a more exhaustive study and that in some cases will require a specific treatment depending on the cause. On the other hand, we aim to present a work methodology that is applicable in the great majority of types of enuresis, and which, besides being free of the undesirable effects of some classic treatments, obtains a high percentage of success. Similarly, we aim to contribute a series of basic norms for a correct apprenticeship in starting to control micturition and that could be incorporated in the program of a healthy child.

Key words. Enuresis. Diagnosis. Motivational therapy. Desmopressin. Sphincter control.

Correspondencia
Dra. Ana Giner Muñoz
Consultorio de Mutilva Baja
Mutilva Baja (Navarra)
E-mail: aginermu@cfnavarra.es