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Enuresis und funktionelle Harninkontinenz

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Neuro-/Psychopharmaka im Kindes- und Jugendalter

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Zusammenfassung

Enuresis nocturna wird als Einnässen im Schlaf, funktionelle Harninkontinenz als Einnässen tags ab einem Alter von 5 Jahren nach Ausschluss organischer Ursachen definiert. Viele verschiedene Subtypen können differenziert werden. Eine genaue Diagnostik ist für eine spezifische, wirksame Therapie entscheidend. Für alle Formen der Enuresis nocturna und der funktionellen Harninkontinenz sind symptomorientierte, nichtpharmakologische Interventionen wegen der besseren Wirksamkeit zu bevorzugen. Eine Indikation zur Pharmakotherapie ergibt sich nur bei der Enuresis nocturna (vor allem mit Desmopressin), bei der Dranginkontinenz (Anticholinergika) und in den seltenen Fällen der Lachinkontinenz (Psychostimulanzien). Komorbide psychische Störungen, die 20–40 % der Kinder mit Enuresis und/oder Harninkontinenz betreffen, sind zu beachten.

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Authors and Affiliations

  1. Ambulante Dienste Kinder- und Jugendpsychiatrie, Psychiatrische Dienste Graubünden, Chur, Schweiz

    Prof. Dr. med. Alexander von Gontard

  2. Governor Kremers Centre, Department of Urology, Maastricht University Medical Centre, Maastricht, Niederlande

    Prof. Dr. med. Alexander von Gontard

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  1. Prof. Dr. med. Alexander von Gontard
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Correspondence to Alexander von Gontard .

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Editors and Affiliations

  1. Hammelburg, Deutschland

    Manfred Gerlach

  2. Privatklinik für Seelische Gesundheit, Jugendliche und junge Erwachsene, HEMERA Klinik, Bad Kissingen, Deutschland

    Claudia Mehler-Wex

  3. Zentrum für Psychische Gesundheit, Universitätsklinik für Kinder- und Jugendpsychiatrie, Psychosomatik und Psychotherapie, Würzburg, Deutschland

    Marcel Romanos

  4. Klinik für Kinder- und Jugendpsychiatrie und Psychotherapie, Psychiatrische Universitätsklinik Zürich, Zürich, Schweiz

    Susanne Walitza

  5. KIRINUS Tagesklinik Nymphenburg, München, Deutschland

    Christoph Wewetzer

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© 2023 Der/die Autor(en), exklusiv lizenziert an Springer-Verlag GmbH, DE, ein Teil von Springer Nature

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von Gontard, A. (2023). Enuresis und funktionelle Harninkontinenz. In: Gerlach, M., Mehler-Wex, C., Romanos, M., Walitza, S., Wewetzer, C. (eds) Neuro-/Psychopharmaka im Kindes- und Jugendalter. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-65267-1_16

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  • DOI: https://doi.org/10.1007/978-3-662-65267-1_16

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