Oral is considered first-line therapy for treating nocturnal enuresis in patients who have not responded to behavioral modification.
USMLE® Step 2 style questions USMLE
A 4-year-old boy comes to the office because of monosymptomatic enuresis for the past month. He has a one year history of ADHD that is well-managed with medication. A detailed patient history and physical examination, as well as a fluid intake, stool and voiding diary reveal no abnormalities. Urinalysis is unremarkable. The parent and child are referred for education and behavioral therapy. The enuresis decreases, but persists. Which of the following is the most appropriate next step in management of this patient?