Adult-onset enuresis in a Nigerian housewife

Abstract

A case report of secondary non-organic nocturnal enuresis with co-morbid depressive illness and marital disharmony in a 37 year old housewife is presented to apprise clinicians of such uncommon condition in our locale, highlight the assessment procedures and the multi-faceted management methods. Combination of behavioral management, Imipramine medication and conjoint therapy aborted the enuresis by the 8th week of treatment, and the patient remained dry at subsequent clinic visits six months later. Adult-onset non-organic nocturnal enuresis could be an expression of an underlying psycho-social conflict. Exploring patients' psychosocial history and familiarity with the various treatment modalities for the management of enuresis become imperative.