Abstract

ABSTRACTChildhood enuresis has long been an enigmatic clinical entity. The purpose of this paper is to focus current psychologic thinking as it applies to etiology, diagnostic work-up, treatment, and follow-up. A large number of etiologic formulations are briefly mentioned, but our primary thrust is to emphasize the psychologic liabilities of urologic instrumentation and to encourage the early application of nonsurgical therapeutic approaches consisting of behavior modification and imipramine. Follow-up evaluation is suggested for children requiring diagnostic or therapeutic genitourinary instrumentation.