Purpose: The treatment approach for enuresis is controversial due to the la
ck of consensus as to the exact causes of nocturnal enuresis. Despite vario
us treatment modalities, pharmacotherapy sti II appears to be the common ch
oice. The aim of this prospective study was the evaluation of the efficacy
of combination therapy (imipramine and oxybutynin) in patients with enuresi
s nocturna. Patients and Methods: This prospective study was done with 77 m
onosymptomatic nocturnal enuretics between July 1996 and December 1998. Res
ults: Even though there is no statistically significant difference between
combination therapy (imipramine plus oxybutynin) and monotherapy, clinical
data showed that combination therapy is more effective, Conclusions: We con
clude that combination of imipramine with oxybutynin is a safe and new choi
ce in the treatment of nocturnal enuresis, Copyright (C) 2000 S. Karger AG,
Basel.