LAUSR

We thank the authors for their comments on our paper titled: Importance of neuropsychiatric evaluation in children with primary monosymptomatic enuresis. The authors correctly pointed out the visual motor impairment in patients affected by primary monosymptomatic nocturnal enuresis. As they stated, it has been reported that enuretic children present poor visuomotor competencies [1] and slower motor performance [2] compared to healthy controls. Our paper focused only on neuropsychological findings because not all the reported comorbidities are related to poor motor competencies [3]. We want to emphasize the common etiology between enuresis and the following reported comorbidities: abnormal neural responses to emotional stimuli [4], pathologically increased excitability, reduced inhibitory processing in the motor cortex [5], and abnormal cerebral control network of micturition with metabolism abnormalities in the prefrontal cortex and the pons [6]. We also analyzed our patients’ motor functions, and our preliminary results suggest that there is a statistically higher incidence of motor and visual impairments in enuretic children compared to healthy controls. We are currently performing an ad hoc study to analyze motor functions and visual integration in our cohort of patients. We hope that our data will be ready by December 2017.