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[Pharmacological procedures for treating enuresis and operant behavior therapy. A comparison].

In comparison with the highly significant effect of the apparative behavior therapy of enuresis, tricyclic antidepressants, desmopressin and anticholinergic drugs all fail to show statistically significant results. The author presents a model to illustrate and explain how the apparative behavior therapy of enuresis works. The therapy's main aim is for patients to learn active control of the bladder. From this theoretical point of view the aforementioned pharmacological treatments of enuresis cannot yield effects that last a long time after discontinuation of medication. By reducing the frequency of micturition at night only, they prevent active learning of bladder control.