Abstract
Nocturnal enuresis in childhood is usually classified into two types: the primary and the secondary. The former type implies the case in which nocturnal enuresis occurrs because the urine voiding system of child has no yet been established. The latter implies the case in which nocturnal enuresis appears due to psychological stresses. Mowrer's alarm-sheet method has been well known as a behavioral therapy technique for nocturnal enuresis. In recent years, however, Kimmel reported urine retention training in which the instrumental conditioning techniques to endure the desire to urinate were performed to train the child in the daytime. Azrin has shown another behavioral approach which chiefly uses role-play techniques. The authors have combined those two methods so that the pediatricians in this country may treat the enuretics in their daily practice. This method is now established as a modified Kimmel-Azrin method and the results have been already reported elswhere. At the present time, the treatment cases have reached to 151, which are reviewed and reported here.