The significance of a positive family history in predicting responsive
ness to desmopressin (DDAVP(R)) treatment was evaluated in 71 children
with nocturnal enuresis. A good response to treatment was recorded in
91% of those children with a positive family history compared with on
ly 7% of those with a negative family history. A review of the publish
ed literature further supports the predictive value of a positive fami
ly history and also confirms the importance of a broad definition for
family history-including persistent nocturia. The importance of defini
ng the family history is also discussed in terms of response to some o
ther therapies for nocturnal enuresis.