Abstract

Background: Bed wetting or nocturnal enuresis is seen in 15% of children over 5 Yr. it is primary in 75-90% of cases and the monosymptomatic enuresis is more common and should be estimated after ruling out other symptoms. In here we report a case of a 9-year-old boy who referred with a permanent primary monosymptomatic nocturnal enuresis and he was quite upset and had a tired and unhappy family. Case Presentation: This is a clinical combined therapy case study. A 9-year-old boy was referred with a chief complaint of bed wetting, which was primary and monosymptomatic, but because of experiencing of wrong incomplete period of treatments, they were disappointed. He had tried one or two drugs each time. In this approach I put him under simultaneous given multifaceted treatment, include education and advises, motivational therapies, conditional therapy, and pharmacotherapies. And this situation revealed a faster and also more persistent result and this motivated the child and his family to complete the treatment course (for 4 months) without any relapse after completion this period. Conclusion: Our study shows that nocturnal enuresis, even primary monosymptomatic types, which are most common types of enuresis may need multi-faceted treatment to make child calm and his family comfort.

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