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May 1940

ENURESIS: A STUDY OF CAUSES, TYPES AND THERAPEUTIC RESULTS

Author Affiliations

KANSAS CITY, MO.
From the Department of Urology, Children's Mercy Hospital.

Am J Dis Child. 1940;59(5):1013-1033. doi:10.1001/archpedi.1940.01990160085004
Abstract

This study is an analysis of findings in 100 representative children observed in our enuresis clinic. It is an effort to provide successful diagnostic and therapeutic aids. The child who has reached the age of 3 years and has then or at any age thereafter urinary incontinence when asleep, either diurnal or nocturnal or both, we consider to have enuresis. The symptom is often of serious import, and the attitude of assuming that the child "will outgrow it" and that the enuresis needs no treatment if cajolery or threats fail is unjustifiable. Such an attitude is "indicative of superficial understanding of such a complex, deep-rooted instinctually related symptom."1 The investigation has included the securing of histories, physical and roentgenologic examinations, studies of vesical and neuromuscular function and various degrees of child analysis.

The following remarks are concerned with: (1) a résumé of the psychosomatic significance and of the types

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